Substitituted 1-piperidin-3-yl-piperidin 4-yl-piperazine derivatives and their use as neurokinin auantagonists

ABSTRACT

This invention concerns substituted 1-piperidin-3-yl-4-piperidin-4-yl-piperazine derivatives having neurokinin antagonistic activity, in particular NK 1  antagonistic activity, a combined NK 1 /NK 3  antagonistic activity and a combined NK 1 /NK 2 /NK 3  antagonistic activity, their preparation, compositions comprising them and their use as a medicine, in particular for the treatment of schizophrenia, emesis, anxiety and depression, irritable bowel syndrom (IBS), circadian rhythm disturbances, visceral pain, neurogenic inflammation, asthma, micturition disorders such as urinary incontinence and nociception. The compounds according to the invention can be represented by general Formula (I) and comprises also the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and prodrugs thereof, wherein all substituents are defined as in Claim  1.  In view of their capability to antagonize the actions of tachykinins by blocking the neurokinin receptors, and in particular antagonizing the actions of substance P, Neurokinin A and Neurokinin B by blocking the NK 1 , NK 2  and NK 3  receptors, the compounds according to the invention are useful as a medicine, in particular in the prophylactic and therapeutic treatment of tachykinin-mediated conditions, such as, for instance CNS disorders, in particular schizoaffective disorders, depression, anxiety disorders, stress-related disorders, sleep disorders, cognitive disorders, personality disorders, eating disorders, neurodegenerative diseases, addiction disorders, mood disorders, sexual dysfunction, pain and other CNS-related conditions; inflammation; allergic disorders; emesis; gastrointestinal disorders, in particular irritable bowel syndrome (IBS); skin disorders; vasospastic diseases; fibrosing and collagen diseases; disorders related to immune enhancement or suppression and rheumatic diseases and body weight control.

FIELD OF THE INVENTION

This invention concerns substituted 1-piperidin-3-yl-4-piperidin-4-yl-piperazine derivatives having neurokinin antagonistic activity, in particular NK₁ antagonistic activity, a combined NK₁/NK₃ antagonistic activity and a combined NK₁/NK₂/NK₃ antagonistic activity, their preparation, compositions comprising them and their use as a medicine, in particular for the treatment of schizophrenia, emesis, anxiety and depression, irritable bowel syndrom (IBS), circadian rhythm disturbances, visceral pain, neurogenic inflammation, asthma, micturition disorders such as urinary incontinence and nociception.

BACKGROUND OF THE INVENTION

Tachykinins belong to a family of short peptides that are widely distributed in the mammalian central and peripheral nervous system (Bertrand and Geppetti, Trends Pharmacol. Sci. 17:255-259 (1996); Lundberg, Can. J. Physiol. Pharmacol. 73:908-914 (1995); Maggi, Gen. Pharmacol. 26:911-944 (1995); Regoli et al., Pharmacol. Rev. 46 (1994)). They share the common C-terminal sequence Phe-Xaa-Gly-Leu-Met-NH₂. Tachykinins released from peripheral sensory nerve endings are believed to be involved in neurogenic inflammation. In the spinal cord/central nervous system, tachykinins may play a role in pain transmission/perception and in some autonomic reflexes and behaviors. The three major tachykinins are Substance P (SP), Neurokinin A (NK_(A)) and Neurokinin B (NK_(B)) with preferential affinity for three distinct receptor subtypes, termed NK₁, NK₂, and NK₃, respectively. However, functional studies on cloned receptors suggest strong functional cross-interaction between the 3 tachykinins and their corresponding receptors (Maggi and Schwartz, Trends Pharmacol. Sci. 18: 351-355 (1997)).

Species differences in structure of NK₁ receptors are responsible for species-related potency differences of NK₁ antagonists (Maggi, Gen. Pharmacol. 26:911-944 (1995); Regoli et al., Pharmacol. Rev. 46(4):551-599 (1994)). The human NK₁ receptor closely resembles the NK₁ receptor of guinea-pigs and gerbils but differs markedly from the NK₁ receptor of rodents. The development of neurokinin antagonists has led to date to a series of peptide compounds of which might be anticipated that they are metabolically too labile to be employed as pharmaceutically active substances (Longmore J. et al, DN&P 8(1):5-23 (1995)).

The tachykinins are involved in schizophrenia, depression, (stress-related) anxiety states, emesis, inflammatory responses, smooth muscle contraction and pain perception. Neurokinin antagonists are in development for indications such as emesis, anxiety and depression, irritable bowel syndrome (IBS), circadian rhythm disturbances, visceral pain, neurogenic inflammation, asthma, micturition disorders, and nociception. In particular, NK₁ antagonists have a high therapeutic potential in emesis and depression and NK₂ antagonists have a high therapeutic potential in asthma treatments. NK₃ antagonists seem to play a role in the treatment of pain/inflammation (Giardina, G. et al. Exp. Opin. Ther. Patents, 10(6): 939-960 (2000)) and schizophrenia.

Schizophrenia

The NK₃ antagonist SR142801 (Sanofi) was recently shown to have antipsychotic activity in schizophrenic patients without affecting negative symptoms (Arvantis, L ACNP Meeting, December 2001). Activation of NK₁ receptors causes anxiety, stressful events evoke elevated substance P (SP) plasma levels and NK₁ antagonists are reported to be anxiolytic in several animal models. The NK₁ antagonist from Merck, MK-869 shows antidepressant effects in major depression, but data were not conclusive due to a high placebo response rate. Moreover, the NK₁ antagonist from Glaxo-Welcome (S)-GR205,171 was shown to enhance dopamine release in the frontal cortex but not in the striatum (Lejeune et al. Soc. Neurosci, November 2001). It is therefore hypothesized that NK₃ antagonism in combination with NK₁ antagonism would be beneficial against both positive and negative symptoms of schizophrenia

Anxiety and Depression

Depression is one of the most common affective disorders of modern society with a high and still increasing prevalence, particularly in the younger members of the population. The life time prevalence rates of Major depression (MDD, DSM-IV) is currently estimated to be 10-25% for women and 5-12% for men, whereby in about 25% of patients the life time MDD is recurrent, without full inter-episode recovery and superimposed on dysthymic disorder. There is a high co-morbidity of depression with other mental disorders and, particularly in younger population high association with drug and alcohol abuse. In the view of the fact that depression primarily affects the population between 18-44 years of age e.g. the most productive population, it is obvious that it imposes a high burden on individuals, families and the whole society.

Among all therapeutic possibilities, the therapy with antidepressants is incontestably the most effective. A large number of antidepressants have been developed and introduced to the market in the course of the last 40 years. Nevertheless, none of the current antidepressants fulfill all criteria of an ideal drug (high therapeutic and prophylactic efficacy, rapid onset of action, completely satisfactory short- and long-term safety, simple and favourable pharmacokinetics) or is without side effects which in one or the other way limits their use in all groups and subgroups of depressed patients.

Since no treatment of the cause of depression exists at present, nor appears imminent, and no antidepressant is effective in more than 60-70% of patients; the development of a new antidepressant which may circumvent any of the disadvantages of the available drugs is justified.

Several findings indicate involvement of SP in stress-related anxiety states. Central injection of SP induces a cardiovascular response resembling the classical “fight or flight” reaction characterised physiologically by vascular dilatation in skeletal muscles and decrease of mesenteric and renal blood flow. This cardiovascular reaction is accompanied by a behavioural response observed in rodents after noxious stimuli or stress (Culman and Unger, Can. J. Physiol. Pharmacol. 73:885-891 (1995)). In mice, centrally administered NK₁ agonists and antagonists are anxiogenic and anxiolytic, respectively (Teixeira et at., Eur. J. Pharmacol. 311:7-14 (1996)). The ability of NK₁ antagonists to inhibit thumping induced by SP (or by electric shock; Ballard et al., Trends Pharmacol. Sci. 17:255-259 (2001)) might correspond to this antidepressant/anxiolytic activity, since in gerbils thumping plays a role as an alerting or warning signal to conspecifics.

The NK₁ receptor is widely distributed throughout the limbic system and fear-processing pathways of the brain, including the amygdala, hippocampus, septum, hypothalamus, and periaqueductal grey. Additionally, substance P is released centrally in response to traumatic or noxious stimuli and substance P-associated neurotransmission may contribute to or be involved in anxiety, fear, and the emotional disturbances that accompany affective disorders such as depression and anxiety. In support of this view, changes in substance P content in discrete brain regions can be observed in response to stressful stimuli (Brodin et al., Neuropeptides 26:253-260 (1994)).

Central injection of substance P mimetics (agonists) induces a range of defensive behavioural and cardiovascular alterations including conditioned place a version (Elliott, Exp. Brain. Res. 73:354-356 (1988)), potentiated acoustic startle response (Krase et at., Behav. Brain. Res. 63:81-88 (1994)), distress vocalisations, escape behaviour (Kramer et al., Science 281:1640-1645 (1998)) and anxiety on the elevated plus maze (Aguiar and Brandao, Physiol. Behav. 60:1183-1186 (1996)). These compounds did not modify motor performance and co-ordination on the rotarod apparatus or ambulation in an activity cage. Down-regulation of substance P biosynthesis occurs in response to the administration of known anxiolytic and antidepressant drugs (Brodin et al., Neuropeptides 26:253-260 (1994); Shirayama et al., Brain. Res. 739:70-78 (1996)). Similarly, a centrally administered NK₁ agonist-induced vocalisation response in guinea-pigs can be antagonised by antidepressants such as imipramine and fluoxetine as well as L-733,060, an NK₁ antagonist. These studies provide evidence suggesting that blockade of central NK₁ receptors may inhibit psychological stress in a manner resembling antidepressants and anxiolytics (Rupniak and Kramer, Trends Pharmacol. Sci. 20:1-12 (1999)), but without the side effects of present medications.

Emesis

Nausea and vomiting are among the most distressing side effects of cancer chemotherapy. These reduce the quality of life and may cause patients to delay or refuse, potentially curative drugs (Kris et al., J. Clin. Oncol., 3:1379-1384 (1985)). The incidence, intensity and pattern of emesis is determined by different factors, such as the chemotherapeutic agent, dosage and route of administration. Typically, early or acute emesis starts within the first 4 h after chemotherapy administration, reaching a peak between 4 h and 10 h, and decreases by 12 to 24 h. Delayed emesis (developing after 24 h and continuing until 3-5 days post chemotherapy) is observed with most ‘high-emetogenic’ chemotherapeutic drugs (level 4 and 5 according to Hesketh et al., J. Clin. Oncol. 15:103 (1997)). In humans, these ‘high-emetogenic’ anti-cancer treatments, including cis-platinum, induce acute emesis in >98% and delayed emesis in 60-90% of cancer patients.

Animal models of chemotherapy such as cisplatin-induced emesis in ferrets (Rudd and Naylor, Neuropharmacology 33:1607-1608 (1994); Naylor and Rudd, Cancer. Surv. 21:117-135 (1996)) have successfully predicted the clinical efficacy of the 5-HT₃ receptor antagonists. Although this discovery led to a successful therapy for the treatment of chemotherapy- and radiation-induced sickness in cancer patients, 5-HT₃ antagonists such as ondansetron and granisetron (either or not associated with dexamethasone) are effective in the control of the acute emetic phase (the first 24 h) but can only reduce the development of delayed emesis (>24 h) with poor efficacy (De Mulder et al., Annuals of Internal Medicine 113:834-840 (1990); Roila, Oncology 50:163-167 (1993)). Despite these currently most effective treatments for the prevention of both acute and delayed emesis, still 50% of patients suffer from delayed vomiting and/or nausea (Antiemetic Subcommittee, Annals Oncol. 9:811-819 (1998)).

In contrast to 5-HT₃ antagonists, NK₁ antagonists such as CP-99,994 (Piedimonte et al., L. Pharmacol. Exp. Ther. 266:270-273 (1993)) and aprepitant (also known as MK-869 or L1754,030; Kramer et al., Science 281:1640-1645 (1998); Rupniak and Kramer, Trends Pharmacol. Sci. 20:1-12 (1999)) have now been shown to inhibit not only the acute but also the delayed phase of cisplatin-induced emesis in animals (Rudd et al., Br. J. Pharmacol. 119:931-936(1996) ; Tattersall et al., Neuropharmacology 39:652-663 (2000)). NK₁ antagonists have also been demonstrated to reduce ‘delayed’ emesis in man in the absence of concomitant therapy (Cocquyt et al., Eur. J. Cancer 37:835-842 (2001); Navari et al., N. Engl. L. Med 340:190-195 (1999)). When administered together with dexamethasone and 5-HT₃ antagonists, moreover, NK₁ antagonists (such as MK-869 and CJ-11,974, also known as Ezlopitant) have been shown to produce additional effects in the prevention of acute emesis (Campos et al., J. Clin. Oncol. 19:1759-1767 (2001); Hesketh et al., Clin. Oncol. 17:338-343 (1999)).

Central neurokinin NK₁ receptors play a major role in the regulation of emesis. NK₁ antagonists are active against a wide variety of emetic stimuli (Watson et al., Br. J. Pharmacol. 115:84-94 (1995); Tattersall et al., Neuropharmacol. 35:1121-1129 (1996); Megens et al., J. Pharmacol. Exp. Ther. 302:696-709 (2002)). The compounds are suggested to act by blocking central NK₁ receptors in the nucleus tractus solitarius. Apart from NK₁ antagonism, CNS penetration is thus a prerequisite for the antiemetic activity of these compounds. Loperamide-induced emesis in ferrets can be used as a fast and reliable screening model for the antiemetic activity of NK₁ antagonists. Further evaluation of their therapeutic value in the treatment of both the acute and the delayed phases of cisplatin-induced emesis has been demonstrated in the established ferret model (Rudd et al., Br. J. Pharmacol. 119:931-936 (1994)). This model studies both ‘acute’ and ‘delayed’ emesis after cisplatin and has been validated in terms of its sensitivity to 5-HT₃ receptor antagonists, glucocorticoids (Sam et al., Eur. J. Pharmacol. 417:231-237 (2001)) and other pharmacological challenges. It is unlikely that any future anti-emetic would find clinical acceptance unless successfully treating both the ‘acute’ and ‘delayed’ phases of emesis.

Irritable Bowel Syndrome (IBS)

Patients with irritable bowel syndrome (IBS) experience impaired quality of life, and utilise health care resources extensively as they seek better “solutions” (including unnecessary repeated investigations or even surgery). Although these patients suffer from a ‘benign’ disorder (in other words, they will never die or develop significant complications), they nevertheless cause a significant economic burden by extensive health care resource utilisation, and absence from work.

A reasonable number of pre-clinical publications over the role of NK₁ receptors in visceral pain has been published. Using NK₁ receptor knockout mice and NK₁ antagonists in animal models, different groups have demonstrated the important role played by the NK₁ receptor in hyperalgesia and visceral pain. The distribution of NK₁ receptors and substance P favours a major role in visceral rather than in somatic pain. Indeed more than 80% of visceral primary afferent contain substance P compared with only 25% skin afferents. NK₁ receptors are also involved in gastrointestinal motility (Tonini et al., Gastroenterol. 120:938-945 (2001); Okano et al., J. Pharmacol. Exp. Ther. 298:559-564 (2001)). Because of this dual role in both gastrointestinal motility and in nociception, NK₁ antagonists are considered to have potential to ameliorate symptoms in IBS patients.

BACKGROUND PRIOR ART

Compounds containing the 1-piperidin-4-yl-piperazinyl moiety were published in WO 97/16440-A1, published May 9, 1997 by Janssen Pharmaceutica N.V. for use as substance P antagonists, in WO 02/32867, published Apr. 25, 2002 by Glaxo Group Ltd. for their special advantages as neurokinin antagonists (more specifically were disclosed 4-piperazin-1-yl-piperidine-1-carboxylic acid amide derivatives), in WO 01/30348-A1, published May 3, 2001 by Janssen Pharmaceutica N.V., for use as substance P antagonists for influencing the circadian timing system, and in WO 021062784-A1, published Aug. 15, 2002 by Hoffmann-La Roche AG for use as neurokinin-1 antagonists.

The compounds of the present invention differ from the compounds of the prior art in the substitution of the piperazinyl moiety, being a substituted piperidinyl moiety as well as in their improved ability as potent, orally and centrally active neurokinin antagonists with therapeutic value, especially for the treatment of schizophrenia, emesis anxiety and depression, irritable bowel syndrome (IBS), circadian rhythm disturbances, visceral pain, neurogenic inflammation, asthma micturition disorders such as urinary incontinence and nociception.

DESCRIPTION OF THE INVENTION

The present invention relates to novel substituted 1-piperidin-3-yl-4-piperidin-4yl-piperazine derivatives according to the general Formula (I)

the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and prodrugs thereof, wherein: the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and prodrugs thereof, wherein:

-   -   n is an integer, equal to 0, 1 or 2;     -   m is an integer, equal to 1 or 2, provided that if m is 2, then         n is 1;     -   p is an integer equal to 1 or 2;     -   q is an integer equal to 0 or 1;     -   Q is O or NR³;     -   X is a covalent bond or a bivalent radical of formula —O—, —S—         or —NR³—;     -   each R³ independently from each other, is hydrogen or alkyl;     -   each R¹ independently from each other, is selected from the         group of Ar¹, Ar¹-alkyl and di(Ar¹)-alkyl;     -   R² is Ar², Ar²-alkyl, di(Ar²)alkyl, Het¹ or Het¹-alkyl;     -   Y is a covalent bond or a bivalent radical of formula —C(═O)—,         —SO₂—, >C═CH—R or >C═N—R, wherein R is CN or nitro;     -   each Alk represents, independently from each other, a covalent         bond; a bivalent straight or branched, saturated or unsaturated         hydrocarbon radical having from 1 to 6 carbon atoms; or a cyclic         saturated or unsaturated hydrocarbon radical having from 3 to 6         carbon atoms; each radical optionally substituted on one or more         carbon atoms with one or more phenyl, halo, cyano, hydroxy,         formyl and amino radicals;     -   L is selected from the group of hydrogen, alkyl, alkyloxy,         Ar³-oxy, alkyloxycarbonyl, alkylcarbonyloxy, mono- and         di(alkyl)amino, mono-and di(Ar³)amino, Ar³, Ar³carbonyl, Het²         and Het³carbonyl;     -   Ar¹ is phenyl, optionally substituted with 1, 2 or 3         substituents, each independently from each other, selected from         the group of halo, alkyl, cyano, aminocarbonyl and alkyloxy;     -   Ar² is naphthalenyl or phenyl, each optionally substituted with         1, 2 or 3 substituents, each independently from each other,         selected from the group of halo, nitro, amino, mono- and         di(alkyl)amino, cyano, alkyl, hydroxy, alkyloxy, carboxyl,         alkyloxycarbonyl, aminocarbonyl and mono- and         di(alkyl)aminocarbonyl;     -   Ar³ is naphthalenyl or phenyl, optionally substituted with 1, 2         or 3 substituents, each independently from each other, selected         from the group of alkyloxy, alkyl, halo, hydroxy,         Ar¹carbonyloxycarbonyl, pyridinyl, morpholinyl, pyrrolidinyl,         imidazo[1,2-a]pyridinyl, morpholinylcarbonyl,         pyrrolidinylcarbonyl, amino and cyano;     -   Het¹ is a monocyclic heterocyclic radical selected from the the         group of pyrrolyl, pyrazolyl, imidazolyl, furanyl, thienyl,         oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, pyridinyl,         pyrimidinyl, pyrazinyl and pyridazinyl; or a bicyclic         heterocyclic radical selected from the group of quinolinyl,         quinoxalinyl, indolyl, benzimidazolyl, benzoxazolyl,         benzisoxazolyl, benzothiazolyl, benzisothiazolyl, benzofuranyl,         benzothienyl and 4a,8a-dihydro-2H-chromenyl; each heterocyclic         radical may optionally be substituted on any atom by one or more         radicals selected from the group of halo, oxo and alkyl;     -   Het² is a monocyclic heterocyclic radical selected from the         group of tetrahydrofuranyl, pyrrolidinyl, dioxolyl,         imidazolidinyl, pyrrazolidinyl, piperidinyl, morpholinyl,         dithianyl, thiomorpholinyl, piperazinyl, imidazolidinyl,         tetrahydrofuranyl, 2H-pyrrolyl, pyrrolinyl, imidazolinyl,         pyrrazolidinyl, pyrrolyl, imidazolyl, pyrazolyl, triazolyl,         furanyl, thienyl, oxazolyl isoxazolyl, thiazolyl, thiadiazolyl,         isothiazolyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridazinyl and         triazinyl;         -   or a bicyclic heterocyclic radical selected from the group             of benzopiperidinyl, quinolinyl quinoxalinyl, indolyl,             isoindolyl, chromenyl, benzimidazolyl,             imidazo[1,2-a]pyridinyl, benzoxazolyl, benzisoxazolyl,             benzothiazolyl, benzisothiazolyl, benzofuranyl,             benzothienyl, benzo [2,1,3]oxadiazolyl,             imidazo[2,1-b]thiazolyl, 2,3-dihydrobenzo[1,4]dioxyl and             octahydrobenzo[1,4]dioxyl;         -   each radical may optionally be substituted with one or more             radicals selected from the group of Ar¹, Ar¹alkyl,             Ar¹alkyloxyalkyl, halo, hydroxy, alkyl, alkylcarbonyl,             alkyloxy, alkyloxyalkyl, alkyloxycarbonyl, piperidinyl,             pyridinyl, pyrrolyl, thienyl, oxo and oxazolyl; and     -   alkyl is a straight or branched saturated hydrocarbon radical         having from 1 to 6 carbon atoms or a cyclic saturated         hydrocarbon radicals having from 3 to 6 carbon atoms; optionally         substituted on one or more carbon atoms with one or more         radicals selected from the group of phenyl, halo, cyano, oxo,         hydroxy, formyl and amino.

More in particular, the invention relates to a compound according to the general Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and a prodrug thereof, wherein:

-   -   n is 1;     -   m is 1;     -   p is 1;     -   q is 0;     -   Q is O;     -   X is a covalent bond;     -   each R¹ is Ar¹ or Ar¹-alkyl;     -   R² is Ar²;     -   Y is a covalent bond or a bivalent radical of formula —C(═O)—,         —SO₂— or >C═H—R or >C═N—R, wherein R is CN or nitro;     -   each Alk represents, independently from each other, a covalent         bond; a bivalent straight or branched, saturated hydrocarbon         radical having from 1 to 6 carbon atoms; or a cyclic saturated         hydrocarbon radical having from 3 to 6 carbon atoms; each         radical optionally substituted on one or more carbon atoms with         one or more hydroxy radicals;     -   L is selected from the group of hydrogen, alkyl, alkyloxy,         alkylcarbonyloxy, mono- and di(alkyl)amino, mono-and         di(Ar³)amino, Ar³, Het² and Hetcarbonyl;     -   Ar¹ is phenyl;     -   Ar² is phenyl, optionally substituted with 1, 2 or 3 alkyl         radicals;     -   Ar³ is phenyl, optionally substituted with 1, 2 or 3         substituents, each independently from each other, selected from         the group of alkyloxy, alkyl, halo, hydroxy,         Ar¹carbonyloxycarbonyl and cyano;     -   He² is a heterocyclic radical selected from the group of         tetrahydrofuranyl, pyrrolidinyl, imidazolyl, pyrazolyl, furanyl,         thienyl, isoxazolyl, thiazolyl, thiadiazolyl, pyridinyl,         pyrazinyl, benzo [2,1,3]oxadiazolyl and imidazo[2,1-b]thiazolyl;         each radical optionally substituted with one or more         Ar¹alkyloxyalkyl, halo, alkyl, alkylcarbonyl, pyridinyl or         oxazolyl radicals; and     -   alkyl is a straight hydrocarbon radical having 1 to 6 carbon         atoms, optionally substituted with one or more radicals selected         from the group of halo and hydroxy;

More in particular, the invention relates to a compound according to the general Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and a prodrug thereof, wherein R¹ is Ar¹methyl and attached to the 2-position or R¹ is Ar¹ and attached to the 3-position, as exemplified in either of the following formulas for compounds according to Formula (I) wherein m and n are equal to 1 and Ar is an unsubstituted phenyl.

More in particular, the invention relates to a compound according to the general Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and a prodrug thereof, wherein the R²—X—C(=Q)- moiety is 3,5di-(trifluoromethyl)phenylcarbonyl.

More in particular, the invention relates to a compound according to the general Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and a prodrug thereof, wherein p is 1.

More in particular, the invention relates to a compound according to the general Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and a prodrug thereof, wherein Y is —C(═O)—.

More in particular, the invention relates to a compound according to the general Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and a prodrug thereof, wherein Alk is a covalent bond.

More in particular, the invention relates to a compound according to the general Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and a prodrug thereof, wherein L is Het².

More in particular, the invention relates to a compound according to the general Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and a prodrug thereof, wherein the compound is a compound selected from the group of compounds with compound number 25, 48, 79, 39, 15, 41, 64, 88, 50, 59 and 3, as mentioned in any one of Tables 1-2 further in this application.

In the framework of this application, alkyl is defined as a monovalent straight or branched saturated hydrocarbon radical having from 1 to 6 carbon atoms, for example methyl, ethyl, propyl, butyl, 1-methylpropyl, 1,1-dimethylethyl, pentyl, hexyl; alkyl further defines a monovalent cyclic saturated hydrocarbon radical having from 3 to 6 carbon atoms, for example cyclopropyl, methylcyclopropyl, cyclobutyl, cyclopentyl and cyclohexyl. The definition of alkyl also comprises an alkyl radical that is optionally substituted on one or more carbon atoms with one or more phenyl halo, cyano, oxo, hydroxy, formyl and amino radicals, for example hydroxyalkyl, in particular hydroxymethyl and hydroxyethyl and polyhaloalkyl, in particular difluoromethyl and trifluoromethyl.

In the framework of this application, halo is generic to fluoro, chloro, bromo and iodo.

In the framework of this application, with “compounds according to the invention” is meant a compound according to the general Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and a prodrug thereof.

In the framework of this application, especially in the moiety Alk^(a)-Y-Alk^(b) in Formula (I), when two or more consecutive elements of said moiety denote a covalent bond, then a single covalent bond is denoted. For example, when Alk^(a) and Y denote both a covalent bond and Alk^(b) is CH₂, then the moiety Alk^(a)-Y-Alk^(b) depotes —CH₂. Similarly, if Alk^(a), Y and Alk^(b) each denote a covalent bond and L denotes H, then the moiety Alk^(a)-Y-Alk^(b) denotes —H.

The pharmaceutically acceptable salts are defined to comprise the therapeutically active non-toxic acid addition salts forms that the compounds according to Formula (I) are able to form. Said salts can be obtained by treating the base form of the compounds according to Formula (I) with appropriate acids, for example inorganic acids, for example hydrohalic acid, in particular hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid and phosphoric acid; organic acids, for example acetic acid, hydroxyacetic acid, propanoic acid, lactic acid, pyruvic acid, oxalic acid, malonic acid, succinic acid, maleic acid, fumaric acid, malic acid, tartaric acid, citric acid, methanesulfonic acid, ethanesulfonic acid, benzenesulfonic acid, p-toluenesulfonic acid, cyclamic acid, salicylic acid, p-aminosalicylic acid and pamoic acid.

The compounds according to Formula (I) containing acidic protons may also be converted into their therapeutically active non-toxic metal or amine addition salts forms by treatment with appropriate organic and inorganic bases. Appropriate base salts forms comprise, for example, the ammonium salts, the alkaline and earth alkaline metal salts, in particular lithium, sodium, potassium, magnesium and calcium salts, salts with organic bases, e.g. the benzathine, N-methyl-D-glucamine, hybramine salts, and salts with amino acids, for example arginine and lysine.

Conversely, said salts forms can be converted into the free forms by treatment with an appropriate base or acid.

The term addition salt as used in the framework of this application also comprises the solvates that the compounds according to Formula (I) as well as the salts thereof, are able to form. Such solvates are, for example, hydrates and alcoholates.

The N-oxide forms of the compounds according to Formula (I) are meant to comprise those compounds of Formula (I) wherein one or several nitrogen atoms are oxidized to the so-called N-oxide, particularly those N-oxides wherein one or more tertiary nitrogens (e.g of the piperazinyl or piperidinyl radical) are N-oxidized. Such N-oxides can easily be obtained by a skilled person without any inventive skills and they are obvious alternatives for the compounds according to Formula (I) since these compounds are metabolites, which are formed by oxidation in the human body upon uptake. As is generally known, oxidation is normally the first step involved in drug metabolism (Textbook of Organic Medicinal and Pharmaceutical Chemistry, 1977, pages 70-75). As is also generally known, the metabolite form of a compound can also be administered to a human instead of the compound per se, with much the same effects.

The compounds according to the invention possess at least 2 oxydizable nitrogens (tertiary amines moieties). It is therefore highly likely that N-oxides will form in the human metabolism.

The compounds of Formula (I) may be converted to the corresponding N-oxide forms following art-known procedures for converting a trivalent nitrogen into its N-oxide form. Said N-oxidation reaction may generally be carried out by reacting the starting material of Formula (I) with an appropriate organic or inorganic peroxide. Appropriate inorganic peroxides comprise, for example, hydrogen peroxide, alkali metal or earth alkaline metal peroxides, e.g. sodium peroxide, potassium peroxide; appropriate organic peroxides may comprise peroxy acids such as, for example, benzenecarboperoxoic acid or halo substituted benzenecarboperoxoic acid, e.g. 3-chlorobenzenecarboperoxoic acid, peroxoalkanoic acids, e.g. peroxoacetic acid, alkylhydroperoxides, e.g. tert-butyl hydroperoxide. Suitable solvents are, for example, water, lower alkanols, e.g. ethanol and the like, hydrocarbons, e.g. toluene, ketones, e.g. 2-butanone, halogenated hydrocarbons, e.g. dichloromethane, and mixtures of such solvents.

The term “stereochemically isomeric forms” as used hereinbefore defines all the possible isomeric forms that the compounds of Formula (I) may possess. Unless otherwise mentioned or indicated, the chemical designation of compounds denotes the mixture of all possible stereochemically isomeric forms, said mixtures containing all diastereomers and enantiomers of the basic molecular structure. More in particular, stereogenic centers may have the R— or S-configuration; substituents on bivalent cyclic (partially) saturated radicals may have either the cis- or trans-configuration. Compounds encompassing double bonds can have an E or Z-stereochemistry at said double bond. Stereochemically isomeric forms of the compounds of Formula (I) are obviously intended to be embraced within the scope of this invention.

Following CAS nomenclature conventions, when two stereogenic centers of known absolute configuration are present in a molecule, an R or S descriptor is assigned (based on Cahn-Ingold-Prelog sequence rule) to the lowest-numbered chiral center, the reference center. R* and S* each indicate optically pure stereogenic centers with undetermined absolute configuration. If “α” and “β” are used: the position of the highest priority substituent on the asymmetric carbon atom in the ring system having the lowest ring number, is arbitrarily always in the “α” position of the mean plane determined by the ring system. The position of the highest priority substituent on the other asymmetric carbon atom in the ring system (hydrogen atom in compounds according to Formula (I)) relative to the position of the highest priority substituent on the reference atom is denominated “α”, if it is on the same side of the mean plane determined by the ring system, or “β”, if it is on the other side of the mean plane determined by the ring system.

Compounds according to Formula (I) and some of the intermediate compounds have at least two stereogenic centers in their structure, denoted by an asterisk in Tables 1 and 2.

The invention also comprises derivative compounds (usually called “pro-drugs”) of the pharmacologically-active compounds according to the invention, which are degraded in vivo to yield the compounds according to the invention. Pro-drugs are usually (but not always) of lower potency at the target receptor than the compounds to which they are degraded. Pro-drugs are particularly useful when the desired compound has chemical or physical properties that make its administration difficult or inefficient. For example, the desired compound may be only poorly soluble, it may be poorly transported across the mucosal epithelium, or it may have an undesirably short plasma half-life. Further discussion on pro-drugs may be found in Stella, V. J. et al., “Prodrugs”, Drug Delivery Systems, 1985, pp. 112-176, and Drugs, 1985, 29, pp. 455-473.

Pro-drugs forms of the pharmacologically-active compounds according to the invention will generally be compounds according to Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof and the N-oxide form thereof, having an acid group which is esterified or amidated. Included in such esterified acid groups are groups of the formula —COOR^(x), where R^(x) is a C₁₋₆alkyl, phenyl, benzyl or one of the following groups:

Amidated groups include groups of the formula —CONR^(y)R^(z), wherein R^(y) is H, C₁₋₆alkyl, phenyl or benzyl and R^(z) is —OH, H, C₁₋₆alkyl, phenyl or benzyl. Compounds according to the invention having an amino group may be derivatised with a ketone or an aldehyde such as formaldehyde to form a Mannich base. This base will hydrolyze with first order kinetics in aqueous solution.

The compounds of Formula (I) as prepared in the processes described below may be synthesized in the form of racemic mixtures of enantiomers that can be separated from one another following art-known resolution procedures. The racemic compounds of Formula (I) may be converted into the corresponding diastereomeric salt forms by reaction with a suitable chiral acid. Said diastereomeric salt forms are subsequently separated, for example, by selective or fractional crystallization and the enantiomers are liberated therefrom by alkali. An alternative manner of separating the enantiomeric forms of the compounds of Formula (I) involves liquid chromatography using a chiral stationary phase. Said pure stereochemically isomeric forms may also be derived from the corresponding pure stereochemically isomeric forms of the appropriate starting materials, provided that the reaction occurs stereospecifically. Preferably if a specific stereoisomer is desired, said compound would be synthesized by stereospecific methods of preparation. These methods will advantageously employ enantiomerically pure starting materials.

Pharmacology

Substance P and other neurokinins are involved in a variety of biological actions such as pain transmission (nociception), neurogenic inflammation, smooth muscle contraction, plasma protein extravasation, vasodilation, secretion, mast cell degranulation, and also in activation of the immune system. A number of diseases are deemed to be engendered by activation of neurokinin receptors, in particular the NK₁ receptor, by excessive release of substance P and other neurokinins in particular cells such as cells in the neuronal plexi of the gastrointestinal tract, unmyelinated primary sensory afferent neurons, sympathetic and parasympathetic neurons and nonneuronal cell types (DN&P 8(1):5-23 (1995) and Longmore 1. et al., “Neurokinin Receptors” Pharmacological Reviews 46(4):551-599 (1994)).

The compounds of the present invention are potent inhibitors of neurokinin-mediated effects, in particular those mediated via the NK₁, NK₂ and NK₃ receptor, and may therefore be described as neurokinin antagonists, especially as substance P antagonists, as may be indicated in vitro by the antagonism of substance P-induced relaxation of pig coronary arteries. The binding affinity of the present compounds for the human, guinea-pig and gerbil neurokinin receptors may also be determined in vitro in a receptor binding test using ³H-substance-P as radioligand. The subject compounds also show substance-P antagonistic activity in vivo as may be evidenced by, for instance, the antagonism of substance P-induced plasma extravasation in guinea-pigs, or the antagonism of drug-induced emesis in ferrets (Watson et al., Br. J. Pharmacol. 115:84-94 (1995)).

In view of their capability to antagonize the actions of neurokinins by blocking the neurokinin receptors, and in particular by blocking the NK₁, NK₂ and NK₃ receptor, the compounds according to the invention are useful as a medicine, in particular in the prophylactic and therapeutic treatment of tachykinin-mediated conditions.

More in particular, it has been found that some compounds exhibit NK₁ antagonistic activity, a combined NK₁/NK₃ antagonistic activity and a combined NK₁/NK₂/NK₃ antagonistic activity as can be seen from the Table 8 in the experimental section.

The invention therefore relates to a compound according to the general Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and prodrugs thereof, for use as a medicine.

The invention also relates to the use of a compound according to the invention for the manufacture of a medicament for treating, either prophylactic or therapeutic or both, tachykinin mediated conditions.

The compounds according to the invention are useful in the treatment of CNS disorders, in particular schizoaffective disorders, depression, anxiety disorders, stress-related disorders, sleep disorders, cognitive disorders, personality disorders, eating disorders, neurodegenerative diseases, addiction disorders, mood disorders, sexual dysfunction, pain and other CNS-related conditions; inflammation; allergic disorders; emesis; gastrointestinal disorders, in particular irritable bowel syndrome (IBS); skin disorders; vasospastic diseases; fibrosing and collagen diseases; disorders related to immune enhancement or suppression and rheumatic diseases and body weight control.

In particular, the compounds according to the invention are useful in the treatment or prevention of schizoaffective disorders resulting from various causes, including schizoaffective disorders of the manic type, of the depressive type, of mixed type; paranoid, disorganized, catatonic, undifferentiated and residual schizophrenia; schizophreniform disorder; delusional disorder; brief psychotic disorder, shared psychotic disorder; substance-induced psychotic disorder; and psychotic disorder not otherwise specified.

In particular, the compounds according to the invention are useful in the treatment or prevention of depression including but not limited to major depressive disorders including bipolar depression; unipolar depression; single or recurrent major depressive episodes with or without psychotic features, catatonic features, melancholic features, atypical features or postpartum onset, and, in the case of recurrent episodes, with or without seasonal pattern. Other mood disorders encompassed within the term “major depressive disorder” include dysthymic disorder with early or late onset and with or without atypical features, bipolar I disorder, bipolar II disorder, cyclothymic disorder, recurrent brief depressive disorder, mixed affective disorder, neurotic depression, post traumatic stress disorder and social phobia; dementia of the Alzheimer's type with early or late onset, with depressed mood; vascular dementia with depressed mood; substance-induced mood disorders such as mood disorders induced by alcohol, amphetamines, cocaine, hallucinogens, inhalants, opioids, phencyclidine, sedatives, hypnotics, anxiolytics and other substances; schizoaffective disorder of the depressed type; and adjustment disorder with depressed mood. Major depressive disorders may also result from a general medical condition including, but not limited to, myocardial infarction, diabetes, miscarriage or abortion, etc.

In particular, the compounds according to the invention are useful in the treatment or prevention of anxiety disorders, including but not limited to panic attack; agoraphobia; panic disorder without agoraphobia; agoraphobia without history of panic disorder; specific phobia; social phobia; obsessive-compulsive disorder; post-traumatic stress disorder; acute stress disorder; generalized anxiety disorder; anxiety disorder due to a general medical condition; substance-induced anxiety disorder; and anxiety disorder not otherwise specified.

In particular, the compounds according to the invention are useful in the treatment or prevention of stress-related disorders associated with depression and/or anxiety, including but not limited to acute stress reaction; adjustment disorders, such as brief depressive reaction, prolonged depressive reaction, mixed anxiety and depressive reaction, adjustment disorder with predominant disturbance of other emotions, adjustment disorder with predominant disturbance of conduct, adjustment disorder with mixed disturbance of emotions and conduct and adjustment disorders with other specified predominant symptoms; and other reactions to severe stress.

In particular, the compounds according to the invention are useful in the treatment or prevention of stree-related disorders, including but not limited to dysomnia and/or parasomnias as primary sleep disorders; insomnia; sleep apnea; narcolepsy; circadian rhythms disorders; sleep disorders related to another mental disorder; sleep disorder due to a general medical condition; and substance-induced sleep disorder.

In particular, the compounds according to the invention are useful in the treatment or prevention of cognitive disorders, including but not limited to dementia; amnesic disorders and cognitive disorders not otherwise specified, especially dementia caused by degenerative disorders, lesions, trauma, infections, vascular disorders, toxins, anoxia, vitamin deficiency or endocrinic disorders; dementia of the Alzheimer's type, with early or late onset, with depressed mood; AIDS-associated dementia or amnesic disorders caused by alcohol or other causes of thiamin deficiency, bilateral temporal lobe damage due to Herpes simplex encephalitis and other limbic encephalitis, neuronal loss secondary to anoxia/hypoglycemia/severe convulsions and surgery, degenerative disorders, vascular disorders or pathology around ventricle III. Furthermore, the compounds according to the invention are also useful as memory and/or cognition enhancers in healthy humans with no cognitive and/or memory deficit.

In particular, the compounds according to the invention are useful in the treatment or prevention of personality disorders, including but not limited to paranoid personality disorder; schizoid personality disorder; schizotypical personality disorder; antisocial personality disorder; borderline personality disorder; histrionic personality disorder; narcissistic personality disorder; avoidant personality disorder; dependent personality disorder; obsessive-compulsive personality disorder and personality disorder not otherwise specified.

In particular, the compounds according to the invention are also useful in the treatment or prevention of eating disorders, including anorexia nervosa; atypical anorexia nervosa; bulimia nervosa; atypical bulimia nervosa; overeating associated with other psychological disturbances; vomiting associated with other psychological disturbances; and non-specified eating disorders.

In particular, the compounds according to the invention are also useful in the treatment or prevention of neurodegenerative diseases, including but not limited to Alzheimer's disease; Huntington's chorea; Creutzfeld-Jacob disease; Pick's disease; demyelinating disorders, such as multiple sclerosis and ALS; other neuropathies and neuralgia; multiple sclerosis; amyotropical lateral sclerosis; stroke and head trauma.

In particular, the compounds according to the invention are also useful in the treatment or prevention of addiction disorders, including but not limited to substance dependence or abuse with or without physiological dependence, particularly where the substance is alcohol, amphetamines, amphetamine-like substances, caffeine, cocaine, hallucinogens, inhalants, nicotine, opioids (such as cannabis, heroin and morphine), phencyclidine, phencyclidine-like compounds, sedative-hypnotics, benzodiazepines and/or other substances, particularly useful for treating withdrawal from the above substances and alcohol withdrawal delirium.

In particular, the compounds according to the invention are also useful in the treatment or prevention of mood disorders induced particularly by alcohol, amphetamines, caffeine, cannabis, cocaine, hallucinogens, inhalants, nicotine, opioids, phencyclidine, sedatives, hypnotics, anxiolytics and other substances.

In particular, the compounds according to the invention are also useful in the treatment or prevention of sexual dysfunction, including but not limited to sexual desire disorders; sexual arousal disorders; orgasmic disorders; sexual pain disorders; sexual dysfunction due to a general medical condition; substance-induced sexual dysfunction and sexual dysfunction not otherwise specified.

In particular, the compounds according to the invention are also useful in the treatment or prevention of pain, including but not limited to traumatic pain such as postoperative pain; traumatic avulsion pain such as brachial plexus; chronic pain such as arthritic pain such as occurring in osteo-rheumatoid or psoriatic arthritis; neuropathic pain such as post-herpetic neuralgia, trigeminal neuralgia, segmental or intercostal neuralgia, fibromyalgia, causalgia, peripheral neuropathy, diabetic neuropathy, chemotherapy-induced neuropathy, AIDS related neuropathy, occipital neuralgia, geniculate neuralgia, glossopharyngeal neuralgia, reflex sympathetic dystrophy and phantom limb pain; various forms of headache such as migraine, acute or chronic tension headache, temporomandibular pain, maxillary sinus pain and cluster headache; odontalgia; cancer pain; visceral pain; gastrointestinal pain nerve entrapment pain; sport's injury pain; dysmennonrhoea; menstrual pain; meningitis; arachnoiditis; musculoskeletal pain; low back pain such as spinal stenosis, prolapsed disc, sciatica, angina, ankylosing spondyolitis; gout; burns; scar pain; itch; and thalamic pain such as post stroke thalamic pain.

In particular, the compounds according to the invention are also useful in the treatment or prevention of the following other CNS-related conditions: akinesia, akinetic-rigid syndromes, dyskinesia and medication-induced parkinsonism, Gilles de la Tourette syndrome and its symptoms, tremor, chorea, myoclonus, tics and dystonia, attention-deficit/hyperactivity disorder (ADHD), Parkinson's disease, drug-induced Parkinsonism, post-encephalitic Parkinsonism, progressive supranuclear palsy, multiple system atrophy, corticobasal degeneration, parkinsonism-ALS dementia complex and basal ganglia calcification, behavioral disturbances and conduct disorders in dementia and the mentally retarded, including restlessness and agitation, extra-pyramidal movement disorders, Down's syndrome and Akathisia.

In particular, the compounds according to the invention are also useful in the treatment or prevention of inflammation, including but not limited to inflammatory conditions in asthma, influenza, chronic bronchitis and rheumatoid arthritis; inflammatory conditions in the gastrointestinal tract such as, but not limited to Crohn's disease, ulcerative colitis, inflammatory bowel disease and non-steroidal anti-inflammatory drug induced damage; inflammatory conditions of the skin such as herpes and eczema; inflammatory conditions of the bladder such as cystitis and urge incontinence; and eye and dental inflammation.

In particular, the compounds according to the invention are also useful in the treatment or prevention of allergic disorders, including but not limited to allergic disorders of the skin such as but not limited to urticaria; and allergic disorders of the airways such as but not limited to rhinitis.

In particular, the compounds according to the invention are also useful in the treatment or prevention of emesis, i.e. nausea, retching and vomiting, including but not limited to acute emesis, delayed emesis and anticipatory emesis; emesis induced by drugs such as cancer chemotherapeutic agents such as alkylating agents, for example cyclophosphamide, carmustine, lomustine and chlorambucil; cytotoxic antibiotics, for example dactinomycin, doxorubicin, mitomycin-C and bleomycin; anti-metabolites, for example cytarabine, methotrexate and 5-fluorouracil; vinca alkaloids, for example etoposide, vinblastine and vincristine; and other drugs such as cisplatin, dacarbazine, procarbazine and hydroxyurea; and combinations thereof; radiation sickness; radiation therapy, such as in the treatment of cancer; poisons; toxins such as toxins caused by metabolic disorders or by infection, such as gastritis, or released during bacterial or viral gastrointestinal infection; pregnancy; vestibular disorders, such as motion sickness, vertigo, dizziness and Meniere's disease; post-operative sickness; gastrointestinal obstruction; reduced gastrointestinal motility; visceral pain, such as myocardial infarction or peritonitis; migraine; increased intracranial pressure; decreased intracranial pressure (such as altitude sickness); opioid analgesics, such as morphine; gastro-oesophageal reflux disease; acid indigestion; over-indulgence of food or drink; acid stomach; sour stomach; waterbrash/regurgitation; heartburn, such as episodic heartburn, nocturnal heartburn and meal induced heartburn; and dyspepsia.

In particular, the compounds according to the invention are also useful in the treatment or prevention of gastrointestinal disorders, including but not limited to irritable bowel syndrome (IBS), skin disorders such as psoriasis, pruritis and sunburn; vasospastic diseases such as angina, vascular headache and Reynaud's disease, cerebral ischaemia such as cerebral vasospasm following subarachnoid haemorrhage; fibrosing and collagen diseases such as scleroderma and eosinophilic fascioliasis; disorders related to immune enhancement or suppression such as systemic lupus erythematosus and rheumatic diseases such as frositis; cough; and body weight control, including obesity.

Most in particular, the compounds according to the invention are useful for the manufacture of a medicament for treating schizophrenia, emesis, anxiety, depression, irritable bowel syndrome (IBS), circadian rhythm disturbances, pain, neurogenic inflammation, asthma, micturition disorders such as urinary incontinence and nociception.

The present invention also relates to a method for the treatment and/or prophylaxis of tachykinin-mediated diseases, in particular for the treatment and/or prophylaxis of schizophrenia, emesis, anxiety, depression, irritable bowel syndrome (IBS), circadian rhythm disturbances, pain, neurogenic inflammation, asthma, micturition disorders such as urinary incontinence and nociception comprising administering to a human in need of such administration an effective amount of a compound according to the invention, in particular according to Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof, as well as the pro-drugs thereof.

The invention also relates to a pharmaceutical composition comprising a pharmaceutically acceptable carrier and, as active ingredient, a therapeutically effective amount of a compound according to the invention, in particular a compound according to Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and a prodrug thereof.

The compounds according to the invention, in particular the compounds according to Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and the prodrugs thereof, or any subgroup or combination thereof may be formulated into various pharmaceutical forms for administration purposes. As appropriate compositions there may be cited all compositions usually employed for systemically administering drugs. To prepare the pharmaceutical compositions of this invention, an effective amount of the particular compound, optionally in addition salt form, as the active ingredient is combined in intimate admixture with a pharmaceutically acceptable carrier, which carrier may take a wide variety of forms depending on the form of preparation desired for administration. These pharmaceutical compositions are desirable in unitary dosage form suitable, in particular, for administration orally, rectally, percutaneously, by parenteral injection or by inhalation. For example, in preparing the compositions in oral dosage form, any of the usual pharmaceutical media may be employed such as, for example, water, glycols, oils, alcohols and the like in the case of oral liquid preparations such as suspensions, syrups, elixirs, emulsions and solutions; or solid carriers such as starches, sugars, kaolin, diluents, lubricants, binders, disintegrating agents and the like in the case of powders, pills, capsules and tablets. Because of their ease in administration, tablets and capsules represent the most advantageous oral dosage unit forms in which case solid pharmaceutical carriers are obviously employed. For parenteral compositions, the carrier will usually comprise sterile water, at least in large part, though other ingredients, for example, to aid solubility, may be included. Injectable solutions, for example, may be prepared in which the carrier comprises saline solution, glucose solution or a mixture of saline and glucose solution. Injectable suspensions may also be prepared in which case appropriate liquid carriers, suspending agents and the like may be employed. Also included are solid form preparations that are intended to be converted, shortly before use, to liquid form preparations. In the compositions suitable for percutaneous administration, the carrier optionally comprises a penetration enhancing agent and/or a suitable wetting agent, optionally combined with suitable additives of any nature in minor proportions, which additives do not introduce a significant deleterious effect on the skin. Said additives may facilitate the administration to the skin and/or may be helpful for preparing the desired compositions. These compositions may be administered in various ways, e.g., as a transdermal patch, as a spot-on, as an ointment.

It is especially advantageous to formulate the aforementioned pharmaceutical compositions in unit dosage form for ease of administration and uniformity of dosage. Unit dosage form as used herein refers to physically discrete units suitable as unitary dosages, each unit containing a predetermined quantity of active ingredient calculated to produce the desired therapeutic effect in association with the required pharmaceutical carrier. Examples of such unit dosage forms are tablets (including scored or coated tablets), capsules, pills, powder packets, wafers, suppositories, injectable solutions or suspensions and the like, and segregated multiples thereof.

Since the compounds according to the invention are potent orally administrable NK₁, NK₁/NK₃ and NK₁/NK₂/NK₃-antagonists, pharmaceutical compositions comprising said compounds for administration orally are especially advantageous.

Synthesis

The compounds according to the invention can generally be prepared by a succession of steps, each of which is known to the skilled person.

The final compounds of Formula (I) are conveniently prepared by reductively N-alkylating an intermediate compound of Formula (II) with an intermediate compound of Formula (III). Said reductive N-alkylation may be performed in a reaction-inert solvent such as, for example, dichloromethane, ethanol or toluene or a mixture thereof, and in the presence of an appropriate reducing agent such as, for example, a borohydride, e.g. sodium borohydride, sodium cyanoborohydride or triacetoxy borohydride. In case a borohydride is used as a reducing agent, it may be convenient to use a complex-forming agent such as, for example, titanium(IV)isopropylate as described in J. Org. Chem, 1990, 55, 2552-2554. Using said complex-forming agent may also result in an improved cisltrans ratio in favour of the trans isomer. It may also be convenient to use hydrogen as a reducing agent in combination with a suitable catalyst such as, for example, palladium-on-charcoal or platinum-on-charcoal. In case hydrogen is used as reducing agent, it may be advantageous to add a dehydrating agent to the reaction mixture such as, for example, aluminium tert-butoxide. In order to prevent the undesired further hydrogenation of certain functional groups in the reactants and the reaction products, it may also be advantageous to add an appropriate catalyst-poison to the reaction mixture, e.g., thiophene or quinoline-sulphur. Stirring and optionally elevated temperatures and/or pressure may enhance the rate of the reaction.

In this and the following preparations, the reaction products may be isolated from the reaction medium and, if necessary, further purified according to methodologies generally known in the art such as, for example, extraction, crystallization, trituration and chromatography.

Especially advantageous is the preparation of a final compound according to Formula (I) according to the previously mentioned reaction scheme in which the Alk-Y-Alk-L-moiety is benzyl, thus giving rise to a compound according to Formula (I) in which the Alk-Y-Alk-L-moiety is benzyl. Said final compound is pharmacologically active and can be converted into a final compound according to the invention in which the Alk-Y-Alk-L-moiety is hydrogen by reductive hydrogenation using e.g. hydrogen as a reducing agent in combination with a suitable catalyst such as, for example, palladium-on-charcoal or platinum-on-charcoal. The resulting final compound according to the invention can then be converted into other compounds according to Formula (I) by art-known transformations, e.g. acylation and alkylation.

In particular, the final compounds of Formula (I^(a)) can be prepared by reacting a final compound of Formula (I′) with an intermediate compound of Formula (V) wherein W¹ is an appropriate leaving group such as, for example, a halogen, e.g. chloro or bromo, or a sulfonyloxy leaving group, e.g. methanesulfonyloxy or benzene-sulfonyloxy. The reaction can be performed in a reaction-inert solvent such as, for example, a chlorinated hydrocarbon, e.g. dichloromethane or a ketone, e.g. methyl isobutylketone, and in the presence of a suitable base such as, for example, sodium carbonate, sodium hydrogen carbonate or triethylamine. Stirring may enhance the rate of the reaction. The reaction may conveniently be carried out at a temperature ranging between room temperature and reflux temperature.

Alternatively, the final compounds of Formula (I^(a)) can also be prepared by reacting a final compound of Formula (I′) with a carboxylic acid of Formula (VI). The reaction can be performed in a reaction-inert solvent such as, for example, a chlorinated hydrocarbon, e.g. dichlorometbane, in the presence of a suitable base such as, for example, sodium carbonate, sodium hydrogen carbonate or triethylamine and in the presence of an activator, such as e.g. DCC (dicyclohexylcarbodiimide), CDI (carbonyldiimidazol) and EDCI (1-(3-dimethylaminopropyl)-3-ethylcarbodiimide.HCl). Stirring may enhance the rate of the reaction. The reaction may conveniently be carried out at a temperature ranging between room temperature and reflux temperature.

In particular, the final compounds of Formula (I^(b)) can be prepared by reacting a final compound of Formula (I′) with a compound of Formula (VII) wherein W² is an appropriate leaving group such as, for example, a halogen, e.g. chloro or bromo, or a sulfonyloxy leaving group, e.g. methanesulfonyloxy or benzenesulfonyloxy. The reaction can be performed in a reaction-inert solvent such as, for example, a chlorinated hydrocarbon, e.g. dichloromethane, an alcohol, e.g. ethanol, or a ketone, e.g. methyl isobutylketone, and in the presence of a suitable base such as, for example, sodium carbonate, sodium hydrogen carbonate or triethylamine. Stirring may enhance the rate of the reaction. The reaction may conveniently be carried out at a temperature ranging between room temperature and reflux temperature.

The final compounds of Formula (I^(c)) and Formula (I^(d)) can be prepared either by reductive amination or alkylation of a final compound of Formula (I′) with either a compound of Formula (VIII) or (IX) wherein W³ in Formula (VIII) is an appropriate leaving group such as, for example, a halogen, e.g. chloro or bromo, or a sulfonyloxy leaving group, e.g. methanesulfonyloxy or benzenesulfonyloxy and wherein —CH₂-Alk in Formula (I^(d)) is Alk. The reaction can be performed in a reaction-inert solvent such as, for example, a chlorinated hydrocarbon, e.g. dichloromethane, an alcohol, e.g. ethanol, or a ketone, e.g. methyl isobutylketone, and in the presence of a suitable base such as, for example, sodium carbonate, sodium hydrogen carbonate or triethylamine. Stirring may enhance the rate of the reaction. The reaction may conveniently be carried out at a temperature ranging between room temperature and reflux temperature.

The starting materials and some of the intermediates are known compounds and are commercially available or may be prepared according to conventional reaction procedures generally known in the art. For example, intermediate compounds of Formula (II) may be prepared by reductively N-alkylating an intermediate compound of Formula (XI) with an intermediate compound of Formula (II) in which W⁴ is a benzyl radical, after which the resulting compound is subsequently reduced to yield an intermediate compound according to Formula (II). Said reductive N-alkylation may be performed in a reaction-inert solvent such as, for example, dichloromethane, ethanol, toluene or a mixture thereof, and in the presence of an appropriate reducing agent such as, for example, a borohydride, e.g. sodium borohydride, sodium cyanoborohydride or triacetoxy borohydride. In case a borohydride is used as a reducing agent, it may be convenient to use a complex-forming agent such as, for example, titanium(IV)iso-propylate as described in J. Org. Chem, 1990, 55, 2552-2554. Using said complex-forming agent may also result in an improved cisltrans ratio in favour of the trans isomer. It may also be convenient to use hydrogen as a reducing agent in combination with a suitable catalyst such as, for example, palladium-on-charcoal or platinum-on-charcoal. In case hydrogen is used as reducing agent, it may be advantageous to add a dehydrating agent to the reaction mixture such as, for example, aluminium tert-butoxide. In order to prevent the undesired further hydrogenation of certain functional groups in the reactants and the reaction products, it may also be advantageous to add an appropriate catalyst-poison to the reaction mixture, e.g., thiophene or quinoline-sulphur. Stirring and optionally elevated temperatures and/or pressure may enhance the rate of the reaction.

The preparation of intermediate compounds (XI) and (XII) and other intermediates is described in WO 97/16440-A1, published May 9, 1997 by Janssen Pharmaceutica N.V, which is disclosed herein by reference as well as in other publications mentioned in WO 97/16440-A1, such as, e.g. EP-0,532,456-A.

The following examples are intended to illustrate but not to limit the scope of the present invention.

Experimental Part

Hereinafter “RT” means room temperature, “THF” means tetrahydrofuran, “DIPE” means diisopropylether, “DCM” means dichloromethane, “DMF” means N,N-dimethylformamide, “MIK” means methyl isobutyl keton, “EDCT”, means 1-ethyl-3-(3′-dimethylaminopropyl)carbodiimide, and “HOBT” means 1-Hydroxy-1H-benzotriazole.

A. Preparation of the Intermediate Compounds

EXAMPLE A1

a. Preparation of Intermediate Compound 1

Et₃N (0.55 mol) was added to a stirring mixture of 7-(phenylmethyl)-1,4-dioxa-8-azaspiro[4.5]decane (0.5 mol) in toluene (1500 ml). 3,5-Bis(trifluoromethyl)benzoyl chloride (0.5 mol) was added over a 1-hour period (exothermic reaction). The mixture was stirred at room temperature for 2 hours, then allowed to stand for the weekend and washed three times with water (500 ml, 2×250 ml). The organic layer was separated, dried, filtered and the solvent was evaporated. Yield: 245 g (100%). Part of this fraction was crystallized from petroleum ether. The precipitate was filtered off and dried. Yield: 1.06 g of intermediate compound 1. b1. Preparation of Intermediate Compound 2

HCl cp (300 ml) was added to a mixture of intermediate compound 1 (0.5 mol) in ethanol (300 ml) and H₂O (300 ml). The reaction mixture was stirred at 60° C. for 20 hours. The precipitate was filtered off, ground, stirred in H₂O, filtered off, washed with petroleum ether and dried. Yield: 192 g of intermediate compound 2 ((±)-1-[3,5-bis(trifluoromethyl)benzoyl]-2-(phenylmethyl)-4-piperidinone) (89.4%) (mixture of R and S enantiomers). b2. Preparation of Intermediate Compound 9 and Intermediate Compound 10.

Intermediate compound 2 was separated into its optical isomers by chiral column chromatography over Chiralpak (CHIRALPAK AS 1000 Å 20 mm (DAICEL); eluent: hexane/2-propanol 70/30). Two product fractions were collected and each solvent was evaporated. Yield Fraction 1: 32.6 g of intermediate compound 9 (R) and Fraction 2: 30.4 g of intermediate compound 10 (S). c. Preparation of Intermediate Compound 3

A mixture of intermediate compound 2 (0.046 mol), 1-phenylmethyl)piperazine (0.051 mol) and Ti-tetraisopropyloxide (0.056 mol) was stirred for 2 hours at 40° C. The reaction mixture was cooled to room temperature. Ethanol, p.a. (350 ml) was added. NaBH₄ (0.138 mol) was added. The resulting reaction mixture was stirred for one hour at room temperature, then for one hour at 50° C. More NaBH₄ (5.2 g) was added and the reaction mixture was stirred for 2 hours at 50° C. Again, NaBH₄ was added and the reaction mixture was stirred overnight at room temperature, then for 2 hours at 50° C. Water (10 ml) was added The mixture was stirred for 15 min. CH₂Cl₂ (200 ml) was added and the mixture was stirred for 15 min. The organic phase was separated, dried (MgSO₄), dicalite was added, the mixture was filtered over dicalite, and the filtrate was evaporated. This fraction was separated into (CIS) and (TRANS) by column chromatography over silica gel. The desired (TRANS)-fractions were collected and the solvent was evaporated, giving 14.8 g of residue ((I), 1.06% (CIS)) and 4.9 g of residue ((II), 6% (CIS)). Resolution and purification of those (TRANS)-fractions (±20 g in total) was obtained by chromatography over stationary phase Chiralcel OD (1900 Gr) in Psuchrom LC110 35 bar (eluent: hexane/ethanol 90/10). The desired fractions were collected and the solvent was evaporated. Yield: 9.5 g of intermediate compound 3 (2R-trans)-1-[3,5-bis(trifluoromethyl)benzoyl]-2-phenylmethyl)-4-[4-(phenylmethyl)-1-piperazinyl]piperidine. d. Preparation of Intermediate Compound 4

A solution of intermediate compound 3 (0.288 mol) in methanol (700 ml) was hydrogenated at 40° C. with Pd/C, 10% (5 g) as a catalysl After uptake of H₂ (1 equiv), the catalyst was filtered off and the filtrate was evaporated. Yielding 141.2 g of intermediate compound 4 (+-(2R-trans)-1-[3,5-bis(trifluoromethyl)benzoyl]-2-(phenylmethyl)-4-(1-piperazinyl)piperidine.

EXAMPLE A2

a. Preparation of Intermediate Compound 5

NaH (0.086 mol) was added portionwise to a solution of 3-thiophene ethanol (0.078 mol) in THF at 5° C. under N₂ flow. The mixture was stirred for 1 hour at 5° C. Bu₄NI (0.001 mol) and (bromomethyl)benzene (0.080 mol) were added. The mixture was stirred at room temperature for 3 hours, taken up in H₂O and extracted with AcOEt. The organic layer was separated, dried (MgSO₄) and solvent was evaporated. The concentrate 1 (18 g) was purified by column chromatography over silica gel (gradient eluent: Cyclohexane/AcOEt 100/0 to 80/20). The pure fractions were collected and the solvent was evaporated. Yield. 9.9 g intermediate compound 5 (58%). b. Preparation of Intermediate Compound 6

To a solution of intermediate compound 16 (0.023 mol) in THF (50 ml) at −50° C., BuLi[1.6M] (0.025 mol) was added portionwise under N₂ flow. The temperature was raised slowly to 0° C. The mixture was stirred at 0° C. for 1 hour and cooled to −40° C. A solution of SO₂Cl₂ (0.046 mol) in pentane (50 ml) was added at −40° C. The mixture was stirred at −40° C. for 1 hour. The concentrate was hydrolyzed, extracted with AcOEt, washed with a saturated solution of NaCl, dried over MgSO₄ and concentrated, providing 9 g. The concentrate was purified by column chromatography over silica gel (gradient eluent: Cyclohexane/AcOEt 100/0 to 80/20). Yield 1.2 g of intermediate compound 6 (16%).

EXAMPLE A3

a. Preparation of Intermediate Compound 7

NaH (60% in oil) (0.086 mol, 3.4 g) was added portionwise to a solution of 2-2-thienyl)ethanol (0.078 mol, 10 g) in THF (150 ml) under N₂ flow at 5° C. The mixture was stirred at 5° C. during 1 hour. Tetrabutylammonium iodide (0.001 mol, 0.3 g) and then (bromomethyl)benzene (0.080 mol, 9.5 ml) were added to the solution. The mixture was stirred at room temperature during 3 hours, poured into water, extracted with ethyl acetate, dried over MgSO₄ and concentrated. The crude product (18 g) was purified by column chromatography over silica gel (gradient eluent: CH₂Cl₂/Cyclohexane 0/100 to 20/80) and the product fractions were concentrated. Yield: 11.4 g of intermediate compound 7 (66%). b. Preparation of Intermediate Compound 8

n-BuLi (1.6 M) (0.015 mol, 9.45 ml) was added slowly to a solution of intermediate compound 7 (0.014 mol, 3 g) in THF (30 ml) under N₂ flow at −40° C. The reaction was allowed to warm up slowly to 0° C. and cooled to −70° C. Dry ice (˜2 g) was added. The temperature was slowly allowed to rise to room temperature. NaOH (1 mol per liter, 30 ml) was added, the mixture was washed with diethyl ether. The aqueous layer was acidified with HCl (1N) and extracted with CH₂Cl₂. The organic layer was dried over MgSO₄ and concentrated. Yield. 2.6 g of intermediate compound 8 (71%).

B. Preparation of the Final Compounds

EXAMPLE B1

a) Preparation of Final Compound 1

A mixture of intermediate compound 4 (0.005 mol), 1-phenylmethyl)-3-piperidinone (0.005 mol) and potassium acetate in methanol (150 ml) was hydrogenated at 50° C. with Pd/C 10% (1 g) as a catalyst in the presence of thiophene solution (1 ml). After uptake of H₂ (1 equiv.), the catalyst was filtered off and the filtrate was concentrated. The residue was purified by flash column chromatography over silica gel (eluent: CH₂Cl₂/(MeOH/N₃) 95/5). The product fractions were collected and the solvent was evaporated. Yield: 2.5 g of final compound 1 (74%). b) Preparation of Final Compound 2

A solution of final compound 1 (prepared according to B1.a) (0.09 mol) in methanol (500 ml) was hydrogenated at 50° C. with Pd/C 10% (5 g) as a catalyst. After uptake of H₂ (1 equiv.), the catalyst was filtered off and the filtrate was concentrated. The residue was purified by column chromatography over silica gel (eluent: CH₂C₂/(MeOH/NH₃) 85/15). The product fractions were collected and the solvent was evaporated. Yield: 41.3 g of final compound 2 (78.7%). c) Preparation of Final Compounds 105 and 71

Bis(1,1-dimethylethyl)dicarbonic acid ester (0.008 mol) was added to a solution of final compound 2 (prepared according to B1.b) (0.007 mol) in CH₂Cl₂, p.a (100 ml) and the reaction mixture was stirred for 6 hours at room temperature. The solvent was evaporated and the dry residue was filtered over silica gel (eluent: CH₂Cl₂/CH₃OH 95/5). The product fractions were collected and the solvent was evaporated. The obtained residue was separated by Chiral separation on AD column (eluent: hexane/EtOH 95/5). Two product fractions were collected and their solvent was evaporated. Each residue was purified on a glass filter (gradient eluent: CH₂Cl₂/CH₃OH 100/0-90/10), then the desired products were collected and their solvent was evaporated. Yield fraction 1: 1.2 g of final compound 105 ([2R-[2α,4β(R*)]]). Yield fraction 2: 0.75 g of final compound 71 ([2R-[2α,4β(S*)]]). d) Preparation of Final Compound 108

HCl/2-propanol (5 ml) was added to a solution of final compound 105 (prepared according to B1.c) (0.00175 mol) in 2-propanol (50 ml). The reaction mixture was stirred and refluxed for 90 minutes. The solvent was evaporated and the residue was suspended in DIPE. The resulting precipitate was filtered off and taken up in H₂O. The mixture was alkalised with a NaOH solution and extracted with CH₂Cl₂. The organic layer was washed with water, dried (MgSO₄), filtered off and the solvent was evaporated. Finally, the desired product was dried. Yield: 0.550 g of final compound 108 (54%) (2R-[2α,4β(R*)]).

EXAMPLE B2

Preparation of Final Compound 26

Final compound 2 (prepared according to B1b) (0.007 mol) was dissolved in MIK (50 ml). Chloropyrazine (0.11 g) and Na₂CO₃ (0.5 g) were added. The mixture was stirred and refluxed for 44 hours, then washed with water, dried and the solvent was evaporated. The residue was purified by column chromatography over silica gel (eluent: CH₂Cl₂/MeOH 90/10). The product fractions were collected and the solvent was evaporated. Yield: 54 mg of final compound 26.

EXAMPLE B3

Preparation of Final Compound 49

Final compound 2 (prepared according to B1b) (0.0007 mol) was dissolved in CH₂Cl₂ (20 ml). Benzenemethanesulfonyl chloride (0.0008 mol) was added. The reaction mixture was stirred. Then Na₂CO₃ (0.5 g) was added and the mixture was stirred for 3 hours. The reaction mixture was purified by column chromatography over silicagel (eluent CH₂Cl₂/MeOH 95/5). The desired fractions were collected and the solvent evaporated. The residue was dried. Yield. 0.237 g of final compound 49.

EXAMPLE B4

Preparation of Final Compound 41

Cyclopentanecarbonyl chloride (0.0008 mol) was added to a solution of final compound 2 (prepared according to B1.b) (0.0007 mol) in CH₂Cl₂ (20 ml) and the mixture was stirred, then Na₂CO₃ (0.005 mol) was added and the reaction mixture was stirred overnight at room temperature. The mixture was purified by column chromatography over silica gel (gradient eluent: CH₂Cl₂/CH₃OH 100/0-90/10). The product fractions were collected, the solvent was evaporated and the residue was dried. Yield: 0.296 g of final compound 41.

EXAMPLE B5

Preparation of Final Compound 17

1,1′-Carbonylbis-1H-imidazole (0.0025 mol) was added to a solution of 3-furancarboxylic acid (0.0025 mol) in CH₂Cl₂ (50 ml) and the mixture was stirred for 2 hours at room temperature. Final compound 2 (prepared according to B1.b) (0.002 mol) was added and the reaction mixture was stirred for 18 hours at room temperature. The mixture was washed with a diluted NaOH solution and with water, dried and the solvent was evaporated. The residue was purified by column chromatography over silica gel (gradient eluent: CH₂Cl₂/CH₃OH 98/2-90/10). The product fractions were collected, the solvent was evaporated and the residue was dried. Yield: 0.915 g of final compound 17.

EXAMPLE B6

Preparation of Final Compound 24 and 21

A mixture of α-oxo-2-furanacetic acid (0.001 mol) and 1,1′-carbonylbis-1H-imidazole (0.0011 mol) in CH₂Cl₂ (50 ml) was stirred for 4 hours at room temperature, then final compound 2 (prepared according to B1.b) (0.001 mol) was added and the reaction mixture was stirred overnight. The mixture was washed for 30 min. with a diluted NaOH solution and with water, dried and the solvent was evaporated. The residue was purified by column chromatography (gradient eluent: CH₂Cl₂/CH₃OH 98/2-90/10). Two product fractions were collected, their solvent was evaporated and each residue was dried. Yield fraction 1: 0.120 g of compound 24 and yield fraction 2: 0.147 g of compound 21.

EXAMPLE B7

Preparation of Final Compound 54

Et₃N (0.0051 mol) was added to a mixture of (2S)-1-(1,1-dimethylethyl)-1,2-pyrrolidinedicarboxylic acid ester (0.0028 mol), N′-(ethylcarbonimidoyl)-N,N-dimethyl-1,3-propanediamine (0.0038 mol) and final compound 2 (prepared according to B1.b) (0.0025 mol) in CH₂Cl₂, p.a (50 ml). The reaction mixture was stirred at room temperature for 1.5 hours and was left to stand overnight. The solution was washed with NaOH (0.3N); the organic layer was separated, dried MgSO4), filtered off and the solvent was evaporated The residue was purified by column chromatography over silica gel (gradient eluent: CH₂Cl₂/CH₃OH from 100/0 to 90/10). The product fractions were collected, the solvent was evaporated and the residue was dried (vacuum) at 50° C. for 2 days. Yield. 1.01 g of final compound 54 (52%).

EXAMPLE B8

Preparation of Final Compound 67

EDCI (0.001 mol) was added portionwise to a solution of final compound 2 (prepared according to B1.b) (0.001 mol), 4-hydroxybenzoic acid (0.001 mol), HOBT (0.001 mol) and Et₃N (0.001 mol) in CH₂Cl₂ (5 ml). The mixture was stirred at room temperature for 8 hours then washed with H₂O. The organic layer was separated, dried (MgSO₄), filtered, and the solvent was evaporated. The residue (0.5 g) was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH/NH₄OH 96/4/0.1). The pure fractions were collected and the solvent was evaporated. The residue was crystallized from diethyl ether. The precipitate was filtered off and dried. Yield: 0.14 g of final compound 67 (23%).

EXAMPLE B9

Preparation of Final Compound 66

2-Isocyanatopropane (0.0007 mol) was added at room temperature to a mixture of final compound 2 (prepared according to B1.b) (0.0006 mol) in THF (5 ml). The mixture was stirred at room temperature for 2 hours. H₂O was added. The mixture was extracted with CH₂Cl₂. The organic layer was separated, dried (MgSO₄), filtered, and the solvent was evaporated. The residue (0.4 g) was purified by column chromatography over kromasil (eluent: CH₂Cl₂/CH₃OH/OH 95/5/0.1). The pure fractions were collected and the solvent was evaporated. Yield: 0.2 g of compound 66 (43%).

EXAMPLE B10

a. Preparation of Final Compound 77

A mixture of final compound 2 (prepared according to B1.b) (0.001 mol), 2-thienylboronic acid (0.001 mol) and 1,4-dioxane-2,5-diol (0.001 mol) in ethanol (5 ml) was stirred at room temperature for 18 hours. The solvent was evaporated till dryness. The residue was dissolved in CH₂Cl₂. The organic layer was washed with K₂CO₃ 10%, dried (MgSO₄), filtered and the solvent was evaporated. The residue (0.6 g) was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH/NH₄OH 97/3/0.5). The pure fractions were collected and the solvent was evaporated. Yield: 0.13 g of final compound 77 (21%). b. Preparation of Final Compound 124

Acetic anhydride (0.003 ml, 0.301 mmol) was added to a mixture of final compound 89 (prepared according to B10.a) (0.185 g, 0.251 mmol) and dimethylaminopyridine (0.05 g, 0.376 mmol) in CH₂Cl₂ (2 ml) at room temperature. The mixture was stirred at room temperature for 1 hour, poured in K₂CO₃ 10%, extracted with CH₂Cl₂, dried over MgSO₄, filtered and concentrated under vacuum. The residue was purified by column chromatography over silica gel (eluent: CH₂Cl₂/MeOH/NH₄OH 97/3/0.3). The pure fractions were collected and the solvent evaporated. Yield: 0.147 g of final compound 124 (75%).

EXAMPLE B11

Preparation of Final Compound 91

A mixture of dimethyl-N-cyanodithioiminocarbonate (1 g; 6.8 mmol) and isopropylamine (0.6 ml; 6.8 mmol) in 10 ml of acetonitrile was heated under reflux for 5 hours. After cooling the solution to −10° C., final compound 2 (prepared according to B1.b) (3.87 g; 6.8 mmol) and a 3N NaOH solution (2.3 ml; 6.8 mmol) were consecutively added. The mixture was stirred for 5 minutes and silver nitrate (1.16 g; 6.8 mmol) in acetonitrile (5 ml) was added dropwise. The reaction mixture was stirred at 0° C. for 2 hours then at room temperature for 2 hours. The reaction mixture was filtered and the residue washed with acetonitrile. The solvent was evaporated and the residue was purified by column chromatography over silica gel (eluent: CH₂Cl₂/MeOH/NH₄OH 95/5/0.5). The pure fractions were collected and the solvent evaporated. Yield: 0.96 g of final compound 91 (21%).

EXAMPLE B12

Preparation of Final Compound 103

A mixture of 1,1-bis(methylthio)-2-nitroethylene (0.30 g; 1.8 mmol) and isopropylamine (0.16 ml; 1.8 mmol) in acetonitrile (5 ml) was heated under reflux overnight. After cooling the solution to −10° C., final compound 2 (prepared according to B1.b) (0.529 g; 0.9 mmol) and a 3N sodium hydroxide solution (0.9 ml; 0.9 mmol) were consecutively added. The mixture was stirred for 5 minutes and a solution of silver nitrate (0.16 g; 0.9 mmol) in acetonitrile (5 ml) was added dropwise. The reaction mixture was stirred at 0° C. for 2 hours then at room temperature overnight. The solution was filtered and the residue washed with acetonitrile. The solvent was evaporated and the residue was purified by column chromatography over silica gel (Kromasil 10 μm, eluent: CH₂Cl₂/MeOH/NH₄OH 96/4/0.1). The pure fractions were collected and evaporated. Yield. 0.217 g of final compound 103 (34%).

EXAMPLE B13

a. Preparation of Final Compound 83

Intermediate compound 6 (prepared according to A2.b) (0.002 mol. 055 g) was added portionwise to a solution of final compound 2 (prepared according to B1.b) (0.002 mol, 1.0 g) in dichloromethane at room temperature. The mixture was stirred at room temperature during 18 hours, washed with K₂CO₃ 10%, dried over MgSO₄ and concentrated. The crude product (1.6 g) was purified by column chromatography over silica gel (Kromasil 10 μm, eluent: CH₂Cl₂/MeOH/NH₄OH 99/1/0.2). The pure fractions were collected and evaporated. Yield: 1. 19 g of final compound 83 (77%). b. Preparation of Final Compound 96

Boron tribromide (1M in CH₂Cl₂) (0.009 mol, 5.2 ml) was slowly added to a solution of final compound 83 (prepared according to B13.a) (0.001 mol, 0.9 g) in dichloromethane (10 ml) at −70° C. under N₂ flow. The temperature of the reaction was allowed to rise slowly to −50° C. and the mixture was stirred at −50° C. for 1 hour. The mixture was hydrolyzed with K₂CO₃ 10%, extracted with dichloromethane, dried over MgSO₄ and concentrated. The crude product (0.65 g) was purified by column chromatography over silica gel (Kromasil 10 μm, gradient eluent CH₂Cl₂/MeOH OH 96/4/0.1 to 92/8/0.5). The pure fractions were collected and evaporated Yield: 0.11 g of final compound 96 (14%).

EXAMPLE B14

a. Preparation of Final Compound 93

1-(3-Dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride (0.002 mol, 0.32 g) was added portionwise to a solution of final compound 2 (prepared according to B1.b) (0.002 mol, 1 g), intermediate compound 8 (prepared according to A3.b) (0.002 mol, 0.54 g), 1-hydroxybenzotriazole (0.002 mol, 0.28 g) and triethylamine (0.003 mol, 0.36 ml) in dichloromethane (10 ml) at room temperature. The mixture was stirred at room temperature during 18 hours, then washed with K₂CO₃ 10%, dried over MgSO₄ and concentrated. The crude product was purified by column chromatography over silica gel (Kromasil 10 μm, eluent: CH₂Cl₂/MeOH/NH₄OH 97/3/0.1). The pure fractions were collected and evaporated. Yield: 1.07 g of final compound 93 (65%). b. Preparation of Final Compound 98

The same procedure as described in Example B13.b but instead of the use of final compound 83 (prepared according to B13.a), final compound 93 (prepared according to B14.a) was used.

EXAMPLE B15

Preparation of Final Compound 3

3,5-Dimethylbenzoylchloride (0.00309 mol) was added to a solution of final compound 2 (prepared according to B1.b) (0.00257 mol), Et₃N p.a. (0.0035 mol) and N,N-dimethyl-4-pyridinamine (0.01 g) in CH₂Cl₂ p.a (10 ml) at room temperature and the mixture was stirred overnight. The reaction mixture was partitioned between H₂O and CH₂Cl₂. The separated organic layer was washed with H₂O, dried and was concentrated. The residue was purified by column chromatography over silica gel (eluent: CH₂Cl₂/MeOH 95/5). The product fractions were collected and the solvent was evaporated. This fraction (pale yellow oil) was purified again by column chromatography over silica gel (eluent: CH₂Cl₂/MeOH 98/2). The product fractions were collected and the solvent was evaporated. Yield: 1.75 g. This fraction was washed with a NaOH-solution and H₂O, then dried and the solvent was evaporated. Yield. 1.3 g of final compound 3.

EXAMPLE B16

Preparation of Final Compound 78

BBr₃ (0.005 mol) was added slowly at −70° C. to a solution of final compound 72 (prepared according to B3) (0.001 mol) in CH₂Cl₂ (10 ml). The mixture was cooled slowly to room temperature then stirred for 18 hours. H₂O was added. The mixture was basified with NH₄OH and extracted with CH₂Cl₂. The organic layer was separated, dried (MgSO₄), filtered, and the solvent was evaporated. The residue (0.8 g) was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH/NH₄OH 97/3/0.1). The pure fractions were collected and the solvent was evaporated. Yield: 0.497 g of final compound 78 (63%).

The compounds exemplified in the following Tables 1 and 2 were prepared in a manner analogous to one of the foregoing examples. TABLE 1

Co. Nr. Exp. Nr. Alk^(a) Y Alk^(b) L Stereo descriptors 2 B1.b cb cb cb H 2R-trans 108 B1.d cb cb cb H [2R[2α,4β(R*)]] 109 B1.d cb cb cb H [2R[2α,4β(S*)]] 4 B1.b cb cb cb H cis: (E)-2-butene- dioate(1:2) 26 B2 cb cb cb

2R-trans 1 B1.a —CH₂— cb cb

2R-trans 6 B1.a —CH₂— cb cb

cis 5′ B1.a —CH₂— cb cb

cis; (E)-2-butene-di- oate(1:2) 77 B10.a

cb cb

2R-trans 76 B10.a

cb cb

2R-trans 79 B10.a

cb cb

2R-trans 89 B10.a

cb cb

2R-trans 106 B10.a

cb cb

2R-trans 124 B10.b

cb cb

2R-trans 66 B11 cb C═O cb

2R-trans 65 B11 cb C═O cb

2R-trans 74 B11 cb C═O cb

2R-trans 105 B1.c cb C═O cb

[2R-[2α,4β(R*)]] 71 B1.c cb C═O cb

[2R-[2α,4β(S*)]] 24 B6 cb C═O cb

2R-trans 51 B4 cb C═O cb

[2R-[2α,4β(R*)]] 52 B4 cb C═O cb

[2R-[2α,4β(S*)]] 15 B4 cb C═O cb

2R-trans 14 B5 cb C═O cb

2R-trans 61 B8 cb C═O cb

2R-trans 41 B4 cb C═O cb

2R-trans 60 B7 cb C═O cb

2R-trans 53 B7 cb C═O cb

2R-trans 54 B7 cb C═O cb

2R-trans 16 B5 cb C═O cb

2R-trans 17 B5 cb C═O cb

2R-trans 18 B4 cb C═O cb

2R-trans 19 B5 cb C═O cb

2R-trans 20 B4 cb C═O cb

2R-trans 98 B14.b cb C═O cb

2R-trans 93 B14.a cb C═O cb

2R-trans 100 B14.b cb C═O cb

2R-trans 85 B14.a cb C═O cb

2R-trans 99 B14.a cb C═O cb

2R-trans 97 B14.b cb C═O cb

2R-trans 101 B14.b cb C═O cb

2R-trans 88 B14.a cb C═O cb

2R-trans 102 B14.a cb C═O cb

2R-trans 21 B6 cb C═O cb

2R-trans 42 B4 cb C═O cb

2R-trans 63 B8 cb C═O cb

2R-trans 22 B4 cb C═O cb

2R-trans 23 B4 cb C═O cb

2R-trans 8 B4 cb C═O cb

2R-trans 11 B4 cb C═O cb

2R-trans 82 B8 cb C═O cb

2R-trans 75 B8 cb C═O cb

2R-trans 9 B4 cb C═O cb

2R-trans 10 B4 cb C═O cb

2R-trans 47 B4 cb C═O cb

2R-trans 57 B5 cb C═O cb

2R-trans 70 B8 cb C═O cb

2R-trans 62 B5 cb C═O cb

2R-trans 67 B8 cb C═O cb

2R-trans 64 B4 cb C═O cb

2R-trans 12 B4 cb C═O cb

2R-trans 3 B4 cb C═O cb

2R-trans 13 B15 cb C═O cb

2R-cis; (E)-2-butene- dioate(1:2) 43 B4 cb C═O

2R-trans 48 B4 cb C═O

2R-trans 56 B8 cb C═O

2R-trans 35 B3 cb

cb

2R-trans 25 B3 cb

cb

2R-trans 55 B3 cb

cb

[2R-[2α,4β(R*)]] 59 B3 cb

cb

[2R-[2α,4β(S*)]] 36 B3 cb

cb

2R-trans 38 B3 cb

cb

2R-trans 92 B13.b cb

cb

2R-trans 86 B13.b cb

cb

2R-trans 87 B13.a cb

cb

2R-trans 95 B13.a cb

cb

2R-trans 34 B3 cb

cb

2R-trans 37 B3 cb

cb

2R-trans 84 B13.a cb

cb

2R-trans 96 B13.b cb

cb

2R-trans 83 B13.a cb

cb

2R-trans 90 B13.a cb

cb

2R-trans 29 B3 cb

cb

2R-trans 104 B13.a cb

cb

2R-trans 33 B3 cb

cb

2R-trans 40 B3 cb

cb

2R-trans 32 B3 cb

cb

2R-trans 39 B3 cb

cb

2R-trans 44 B3 cb

cb

2R-trans 28 B3 cb

cb

2R-trans 30 B3 cb

cb

2R-trans 27 B3 cb

cb

2R-trans 50 B3 cb

cb

2R-trans 81 B16 cb

cb

2R-trans 68 B3 cb

cb

2R-trans 31 B3 cb

cb

2R-trans 80 B16 cb

cb

2R-trans 69 B3 cb

cb

2R-trans 107 B16 cb

cb

2R-trans 7 B3 cb

cb

2R-trans 78 B16 cb

cb

2R-trans 73 B13.b cb

cb

2R-trans 72 B3 cb

cb

2R-trans 58 B13.a cb

cb

2R-trans 45 B3 cb

cb

2R-trans 46 B3 cb

cb

2R-trans 49 B3 cb

2R-trans 91 B11 cb C═N—CN cb

2R-trans 94 B11 cb C═N—CN cb

2R-trans 103 B12 cb C═CH—NO₂ cb

2R-trans cb: covalent bond

TABLE 2

Co. Nr. Exp. Nr. Alk^(a) Y Alk^(b) L Stereo descriptors 113 B2 cb cb cb H 2R-cis 117 B2 cb cb cb H 2R-trans 123 B2 cb cb cb H 2R-trans + 2R-cis 110 B1 —CH₂— cb cb

2R-cis 111 B1 —CH₂— cb cb

2R-trans 114 B4 cb C═O cb

2R-cis 121 B5 cb C═O cb

2R-cis 115 B5 cb C═O cb

2R-trans 112 B5 cb C═O cb

2R-cis 116 B5 cb C═O cb

2R-trans 119 B4 cb C═O cb

2R-cis 118 B4 cb C═O cb

2R-trans 120 B3 cb

cb

2R-cis 122 B3 cb

cb

2R-trans cb = covalent bond C. Analytical Data

For a number of compounds, either melting points, LCMS data or optical rotations were recorded.

1. Melting Points

If possible, melting points (or ranges) were obtained with a Leica VMHB Koffler bank. The melting points are uncorrected. TABLE 3 Melting points for selected compounds. Compound no. Result (° C.) 56  83° C. 61 104° C. 62 114° C. 63 110° C. 65  94° C. 66  97° C. 67 150° C. 2. LCMS Conditions Method A

The HPLC gradient was supplied by a Waters Alliance HT 2790 system (Waters, Milford, Mass.) with a columnheater set at 40° C. Flow from the column was split to a Waters 996 photodiode array (PDA) detector and a Waters-Micromass ZQ mass spectrometer with an electrospray ionization source operated in positive and negative ionization mode. Reversed phase HPLC was carried out on a Xterra MS C18 column (3.5 mm, 4.6×100 mm) with a flow rate of 1.6 ml/min. Three mobile phases (mobile phase A: 95% 25 mM ammonium acetate +5% acetonitrile; mobile phase B: acetonitrile; mobile phase C: methanol) were employed to run a gradient condition from 100% A to 50% B and 50% C in 6.5 min., to 100% B in 1 min, 100% B for 1 min. and re-equilibrate with 100% A for 1.5 min. An injection volume of 10 μL was used.

Mass spectra were acquired by scanning from 100 to 1000 in 1 s using a dwell time of 0.1 s. The capillary needle voltage was 3 kV and the source temperature was maintained at 140° C. Nitrogen was used as the nebulizer gas. Cone voltage was 10 V for positive ionization mode and 20 V for negative ionization mode. Data acquisition was performed with a Waters-Micromass MassLynx-Openlynx data system. TABLE 4 LCMS parent peak and retention time for selected compounds. Compound LCMS MS(MH+) Retention no. Meth. A time 1 673 6.36 2 583 5.09 3 715 6.34 4 583 5.24 6 673 6.55 8 687 6.02 9 705 6.01 10 721 6.12 11 701 6.14 12 723 6.05 13 715 6.5 14 665 5.93 15 651 5.84 16 681 5.67 17 677 5.82 18 677 5.86 19 691 5.96 20 693 5.99 21 677 5.6 22 709 5.86 23 688 5.61 24 705 5.78 25 729 6.49 26 651 6.01 27 757 6.26 28 723 6.14 29 729 6.44 30 737 6.08 31 767 6.18 32 741 5.63 33 757 6.38 34 806 6.69 35 689 5.94 36 763 6.68 37 796 6.48 38 758 6.51 39 742 6.5 40 761 6.43 41 679 6.58 42 705 6.2 43 707 6.39 44 803 6.57 45 765 6.51 46 803 6.52 47 717 6.36 48 715 6.61 49 737 6.49 50 791 6.66 51 651 6.20 52 651 6.22 53 780 6.11 54 780 6.10 55 729 5.82 57 712 6.23 58 843 6.50 59 729 5.83 60 722 5.55 64 755 6.26 72 753 6.16 73 753 5.78 74 727 5.90 76 709 6.06 77 709 5.93 78 739 5.84 79 693 5.78 80 739 5.91 82 821 6.39 83 773 5.87 84 863 6.53 85 813 6.37 86 863 6.53 87 849 6.48 88 813 6.39 89 737 6.27 90 819 6.30 91 692 5.79 92 759 5.82 93 827 6.49 94 756 5.86 95 759 6.18 96 773 5.87 97 723 5.75 98 737 5.72 99 827 6.46 100 737 5.74 101 737 5.80 102 827 6.47 103 711 5.61 104 849 6.45 108 583 5.10 109 583 5.13

Method B

The HPLC gradient was supplied by a Waters Alliance HT 2790 system (Waters, Milford, Mass.) with a columnheater set at 40° C. Flow from the column was split to a Waters 996 photodiode array (PDA) detector and a Waters-Micromass ZQ mass spectrometer with an electrospray ionization source operated in positive and negative ionization mode. Reversed phase HPLC was carried out on a Xterra MS C18 column (5 mm, 3.9×150 mm) with a flow rate of 1 ml/min. Two mobile phases (mobile phase A: 85% 6.5 mM ammonium acetate +15% acetonitrile; mobile phase B: 20% 6.5 mM amminium acatate +80% acetonibfile) were employed to run a gradient condition from 100% A for 3 min to 100% B in 5 min., 100% B for 6 min to 100% A in 3 min, and re-equilibrate with 100% A for 3 min). Mass spectra were acquired as in Method A. TABLE 5 LCMS parent peak and retention time for selected compounds. Compound LCMS MS(MH+) Retention no. Meth. B time 68 752 5.10 69 752 5.30 70 703 4.40 75 702 4.50 81 738 4.90 110 687 3.57 111 687 3.43 112 691 4.70 114 665 4.77 115 695 4.30 116 691 4.64 118 735 5.14 119 735 4.30 Method C

The HPLC gradient was supplied by a Waters Alliance HT 2790 system (Wates, Milford, Mass.) with a columnheater set at 40° C. Flow from the column was split to a Waters 996 photodiode array (PDA) detector and a Waters-Micromass ZQ mass spectrometer with an electrospray ionization source operated in positive and negative ionization mode. Reversed phase HPLC was carried out on a Kromasil C18 column (5 mm, 4.6×150 mm) with a flow rate of 1 ml/min. Two mobile phases (mobile phase A: 30% 6.5 mM ammonium acetate +40% acetonitrile +30% formic acid (2 ml/l); mobile phase B: 100% acetonitrile) were employed to run a gradient condition from 100% A for 1 min to 100% B in 4 min., 100% B for 5 min to 100% A in 3 min, and re-equilibrate with 100% A for 2 min). Mass spectra were acquired as in Method A. TABLE 6 LCMS parent peak and retention time for selected compounds. Compound LCMS MS(MH+) Retention no. Meth. B time 120 743 10.2 121 695 8.90 122 743 9.90 Optical Rotations

Optical rotations were recorded on a polarimeter (Perkin Elmer) at 20° C. in methanol, using a cell pathlength=1 dm, a volume=5 ml at a concentration=0.5 mgl/l. TABLE 7 Optical rotation data for selected compounds. Compound Wavelength No. [α] (nm) 52 +29.84 589 nm 57 −27.07 589 nm D. Pharmacological Example

EXAMPLE C.1 Binding Experiment for h-NK₁, h-NK₂ and h-NK₃ Receptors

The compounds according to the invention were investigated for interaction with various neurotransmitter receptors, ion channels and transporter binding sites using the radioligand binding technique. Membranes from tissue homogenates or from cells, expressing the receptor or transporter of interests, were incubated with a radioactively labelled substance ([³H—] or [¹²⁵I] ligand) to label a particular receptor. Specific receptor binding of the radioligand was distinguished from the non-specific membrane labelling by selectively inhibiting the receptor labelling with an unlabelled drug (the blank), known to compete with the radioligand for binding to the receptor sites. Following incubation, labelled membranes were harvested and rinsed with excessive cold buffer to remove non-bound radioactivity by rapid filtration under suction. Membrane bound radioactivity was counted in a scintillation counter and results were expressed in counts per minute (cpm).

The compounds were dissolved in DMSO and tested at 10 concentrations ranging from 10⁻¹⁰ to 10⁻⁵ M.

The ability of the compounds according to the invention to displace [³H]-Substance P from cloned human h-NK₁ receptors expressed in CHO cells, to displace [³H]-SR-48968 from cloned human h-NK₂ receptors expressed in Sf9 cells, and to displace [³H-SR-142801 from cloned human h-NK₃ receptors expressed in CHO cells was evaluated.

The receptor binding values (pIC₅₀) for the h-NK₁ ranges for all compounds according to the invention between 10 and 6.

EXAMPLE C.2 Signal Transduction (ST)

This test evaluates in vitro functional NK₁ antagonistic activity. For the measurements of intracellular Ca⁺⁺ concentrations the cells were grown on 96-well (black wall/transparent bottom) plates from Costar for 2 days until they reached confluence. The cells were loaded with 2 μM Fluo3 in DMEM containing 0.1% BSA and 2.5 mM probenecid for 1 h at 37° C. They were washed 3× with a Krebs buffer (140 mM NaCl, 1 mM MgCl₂×6H₂O, 5 mM KCl, 10 mM glucose, 5 mM HEPES; 1.25 mM CaCl₂; pH 7.4) containing 2.5 mM probenecid and 0.1% BSA (Ca⁺⁺-buffer). The cells were preincubated with a concentration range of antagonists for 20 min at RT and Ca⁺⁺-signals after addition of the agonists were measured in a Fluorescence Image Plate Reader (FLIPR from Molecular Devices, Crawley, England). The peak of the Ca⁺⁺-transient was considered as the relevant signal and the mean values of corresponding wells were analysed as described below.

The sigmoidal dose response curves were analysed by computerised curve-fitting, using the GraphPad Program. The EC₅₀-value of a compound is the effective dose showing 50% of maximal effect. For mean curves the response to the agonist with the highest potency was normalised to 100%. For antagonist responses the IC₅₀-value was calculated using non-linear regression.

The pIC₅₀ data for the signal transduction testing for a representative selection of compounds are presented in Table 8. The last columns indicates—without being limited thereto—for which action the compounds might be most suitable. Of course, since for some neurokinin receptors no data was determined, it is obvious that these compounds might be attributed to another suitable use. TABLE 8 Pharmacological data for the signal transduction for selected compounds pIC₅₀ pIC₅₀ pIC₅₀ Co. No. NK₁ NK₂ NK₃ Suitable for 5 6.1 n.d. n.d. NK₁ 13 6.3 n.d. 5.0 NK₁ 124 6.4 5.3 5.6 NK₁ 87 6.5 6.1 5.1 NK₁ 58 6.6 5.7 5.0 NK₁ 111 6.6 n.d. 5.1 NK₁ 99 6.7 5.2 5.5 NK₁ 110 6.7 n.d. 5.0 NK₁ 120 6.7 n.d. 5.1 NK₁ 90 6.8 5.7 5.0 NK₁ 112 6.8 n.d. 5.0 NK₁ 93 6.9 5.0 5.3 NK₁ 114 6.9 n.d. 5.1 NK₁ 119 6.9 n.d. 5.0 NK₁ 121 6.9 n.d. 5.1 NK₁ 50 7.0 5.2 5.1 NK₁ 122 7.0 n.d. 5.0 NK₁ 3 7.1 n.d. 5.7 NK₁ 85 7.1 5.4 5.3 NK₁ 108 7.1 5.0 5.0 NK₁ 44 7.2 n.d. 5.3 NK₁ 82 7.2 5.5 5.1 NK₁ 89 7.2 5.3 5.1 NK₁ 118 7.2 n.d. 5.6 NK₁ 1 7.3 n.d. n.d. NK₁ 34 7.3 n.d. 5.7 NK₁ 109 7.3 5.0 5.0 NK₁ 116 7.3 n.d. 5.4 NK₁ 115 7.4 n.d. 5.2 NK₁ 17 7.5 n.d. 5.6 NK₁ 12 7.6 n.d. 5.5 NK₁ 19 7.6 n.d. 5.7 NK₁ 24 7.6 n.d. 5.4 NK₁ 31 7.6 n.d. 5.5 NK₁ 2 7.7 n.d. n.d. NK₁ 18 7.7 n.d. 5.6 NK₁ 21 7.7 n.d. 5.9 NK₁ 23 7.7 5.4 5.7 NK₁ 75 7.7 5.6 5.5 NK₁ 81 7.7 5.6 5.8 NK₁ 59 7.8 5.5 5.7 NK₁ 14 7.9 n.d. 5.7 NK₁ 77 7.9 5.7 5.5 NK₁ 98 7.9 5.3 5.7 NK₁ 35 8.0 n.d. 5.7 NK₁ 62 8.0 5.4 5.5 NK₁ 65 8.0 5.8 5.2 NK₁ 74 8.0 5.4 5.5 NK₁ 91 8.0 6.0 5.4 NK₁ 97 8.0 5.4 5.6 NK₁ 103 8.0 5.2 5.0 NK₁ 42 8.1 n.d. 5.6 NK₁ 56 8.1 6.0 5.7 NK₁ 61 8.1 5.5 5.2 NK₁ 67 8.2 5.3 5.8 NK₁ 60 8.3 n.d. 5.2 NK₁ 63 8.3 5.5 5.2 NK₁ 66 8.3 5.5 5.5 NK₁ 84 6.6 6.3 5.9 NK₁/NK₂/NK₃ 83 6.8 6.1 6.4 NK₁/NK₂/NK₃ 104 6.9 5.9 6.5 NK₁/NK₂/NK₃ 48 7.5 6.0 6.2 NK₁/NK₂/NK₃ 45 7.7 5.8 6.4 NK₁/NK₂/NK₃ 25 7.8 6.4 7.1 NK₁/NK₂/NK₃ 30 7.8 6.2 6.2 NK₁/NK₂/NK₃ 46 7.8 6.3 6.1 NK₁/NK₂/NK₃ 49 7.8 6.2 6.5 NK₁/NK₂/NK₃ 96 7.8 6.4 7.0 NK₁/NK₂/NK₃ 79 7.9 5.8 6.0 NK₁/NK₂/NK₃ 92 7.9 6.3 6.8 NK₁/NK₂/NK₃ 55 8.0 6.1 7.0 NK₁/NK₂/NK₃ 80 8.0 6.1 6.3 NK₁/NK₂/NK₃ 68 8.0 5.8 5.8 NK₁/NK₂/NK₃ 73 8.1 6.1 6.6 NK₁/NK₂/NK₃ 29 8.2 5.9 6.5 NK₁/NK₂/NK₃ 38 8.2 6.7 6.6 NK₁/NK₂/NK₃ 39 8.2 6.2 6.3 NK₁/NK₂/NK₃ 86 8.2 6.4 6.3 NK₁/NK₂/NK₃ 32 8.3 6.2 7.0 NK₁/NK₂/NK₃ 78 8.4 6.1 6.5 NK₁/NK₂/NK₃ 7 7.3 n.d. 6.0 NK₁/NK₃ 33 7.4 n.d. 6.0 NK₁/NK₃ 88 7.4 5.6 6.2 NK₁/NK₃ 20 7.5 5.7 6.6 NK₁/NK₃ 36 7.5 5.3 6.2 NK₁/NK₃ 95 7.5 5.5 5.9 NK₁/NK₃ 10 7.6 5.4 6.3 NK₁/NK₃ 40 7.6 5.1 6.6 NK₁/NK₃ 8 7.7 5.0 6.6 NK₁/NK₃ 11 7.7 5.5 6.0 NK₁/NK₃ 27 7.7 n.d. 5.9 NK₁/NK₃ 72 7.7 5.7 5.9 NK₁/NK₃ 76 7.7 5.7 5.8 NK₁/NK₃ 94 7.7 5.4 6.0 NK₁/NK₃ 9 7.8 5.6 6.1 NK₁/NK₃ 47 7.8 5.3 6.3 NK₁/NK₃ 69 7.8 5.6 6.2 NK₁/NK₃ 107 7.8 n.d. 5.9 NK₁/NK₃ 15 7.9 5.2 6.8 NK₁/NK₃ 16 7.9 5.0 6.0 NK₁/NK₃ 37 7.9 5.7 6.2 NK₁/NK₃ 57 7.9 5.5 6.1 NK₁/NK₃ 64 7.9 5.2 6.1 NK₁/NK₃ 22 8.0 5.6 6.3 NK₁/NK₃ 28 8.0 5.7 6.8 NK₁/NK₃ 43 8.0 5.7 6.3 NK₁/NK₃ 26 8.1 5.1 6.1 NK₁/NK₃ 41 8.1 5.5 7.0 NK₁/NK₃ 70 8.1 5.4 5.9 NK₁/NK₃ 53 8.3 5.7 7.3 NK₁/NK₃ 54 8.3 5.7 6.6 NK₁/NK₃ 52 8.4 5.5 6.3 NK₁/NK₃ 51 8.5 5.0 6.1 NK₁/NK₃ (n.d. = not determined). E. Composition Examples

“Active ingredient” (A.I.) as used throughout these examples relates to a compound of Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and prodrugs thereof.

EXAMPLE E.1 Oral Drops

500 Grams of the A.I. was dissolved in 0.5 l of 2-hydroxypropanoic acid and 1.5 l of the polyethylene glycol at 60-80° C. After cooling to 30-40° C. there were added 35 l of polyethylene glycol and the mixture was stirred well. Then there was added a solution of 1750 grams of sodium saccharin in 2.5 l of purified water and while stirring there were added 2.5 l of cocoa flavor and polyethylene glycol q.s. to a volume of 50 l, providing an oral drop solution comprising 10 mg/ml of A.I. The resulting solution was filled into suitable containers.

EXAMPLE E.2 Oral Solution

9 Grams of methyl 4-hydroxybenzoate and 1 gram of propyl 4-hydroxybenzoate were dissolved in 4 l of boiling purified water. In 3 l of this solution were dissolved first 10 grams of 2,3-dihydroxybutanedioic acid and thereafter 20 grams of the A.I. The latter solution was combined with the remaining part of the former solution and 12 11,2,3-propanetriol and 3 l of sorbitol 70% solution were added thereto. 40 Grams of sodium saccharin were dissolved in 0.5 l of water and 2 ml of raspberry and 2 ml of gooseberry essence were added. The latter solution was combined with the former, water was added q.s. to a volume of 20 l providing an oral solution comprising 5 mg of the active ingredient per teaspoonful (5 ml). The resulting solution was filled in suitable containers.

EXAMPLE E.3 Film-Coated Tablets

Preparation of Tablet Core

A mixture of 100 grams of the A.I., 570 grams lactose and 200 grams starch was mixed well and thereafter humidified with a solution of 5 grams sodium dodecyl sulfate and 10 grams polyvinylpyrrolidone in about 200 ml of water. The wet powder mixture was sieved, dried and sieved again. Then there was added 100 grams microcrystalline cellulose and 15 grams hydrogenated vegetable oil. The whole was mixed well and compressed into tablets, giving 10.000 tablets, each containing 10 mg of the active ingredient.

Coating

To a solution of 10 grams methyl cellulose in 75 ml of denaturated ethanol there was added a solution of 5 grams of ethyl cellulose in 150 ml of dichloromethane. Then there were added 75 ml of dichloromethane and 2.5 ml 1,2,3-propanetriol. 10 Grams of polyethylene glycol was molten and dissolved in 75 ml of dichloromethane. The latter solution was added to the former and then there were added 2.5 grams of magnesium octadecanoate, 5 grams of polyvinylpyrrolidone and 30 ml of concentrated colour suspension and the whole was homogenated. The tablet cores were coated with the thus obtained mixture in a coating apparatus.

EXAMPLE E.4 Injectable Solution

1.8 Grams methyl 4-hydroxybenzoate and 0.2 grams propyl 4-hydroxybenzoate were dissolved in about 0.5 l of boiling water for injection. After cooling to about 50° C. there were added while stirring 4 grams lactic acid, 0.05 grams propylene glycol and 4 grams of the A.I. The solution was cooled to room temperature and supplemented with water for injection q.s. ad 1 l, giving a solution comprising 4 mg/ml of A.I. The solution was sterilized by filtration and filled in sterile containers. 

1. A compound according to the general Formula (I)

the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and prodrugs thereof, whereinn is an integer, equal to 0, 1 or 2; m is an integer, equal to 1 or 2, provided that if m is 2, then n is 1; p is an integer equal to 1 or 2; q is an integer equal to 0 or 1; Q is O or NR³; X is a covalent bond or a bivalent radical of formula —O—, —S— or —NR³; each R³ independently from each other, is hydrogen or alkyl; each R¹ independently from each other, is selected from the group of Ar¹, Ar¹-alkyl and di(Ar¹)-alkyl; R² is Ar², Ar²-alkyl, di(Ar²)alkyl, Het¹ or Het¹-alkyl Y is a covalent bond or a bivalent radical of formula —C(═O)—, —SO₂—, >C═CH—R or >C═N—R, wherein R is CN or nitro; each Alk represents, independently from each other, a covalent bond; a bivalent straight or branched, saturated or unsaturated hydrocarbon radical having from 1 to 6 carbon atoms; or a cyclic saturated or unsaturated hydrocarbon radical having from 3 to 6 carbon atoms; each radical optionally substituted on one or more carbon atoms with one or more phenyl, halo, cyano, hydroxy, formyl and amino radicals; L is selected from the group of hydrogen, alkyl, alkyloxy, Ar³-oxy, alkyloxycarbonyl, alkylcarbonyloxy, mono- and di(alkyl)amino, mono- and di(Ar³)amino, Ar³, Ar³carbonyl, Het² and Het² carbonyl; Ar¹ is phenyl, optionally substituted with 1, 2 or 3 substituents, each independently from each other, selected from the group of halo, alkyl, cyano, aminocarbonyl and alkyloxy; Ar² is naphthalenyl or phenyl, each optionally substituted with 1, 2 or 3 substituents, each independently from each other, selected from the group of halo, nitro, amino, mono- and di(alkyl)amino, cyano, alkyl, hydroxy, alkyloxy, carboxyl, alkyloxycarbonyl, aminocarbonyl and mono- and di(alkyl)aminocarbonyl; Ar³ is naphthalenyl or phenyl, optionally substituted with 1, 2 or 3 substituents, each independently from each other, selected from the group of alkyloxy, alkyl, halo, hydroxy, Ar¹carbonyloxycarbonyl, pyridinyl, morpholinyl, pyrrolidinyl, imidazo[1,2-a]pyridinyl, morpholinylcarbonyl, pyrrolidinylcarbonyl, amino and cyano; Het¹ is a monocyclic heterocyclic radical selected from the the group of pyrrolyl, pyrazolyl, imidazolyl, furanyl, thienyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, pyridinyl, pyrimidinyl, pyrazinyl and pyridazinyl; or a bicyclic heterocyclic radical selected from the group of quinolinyl, quinoxalinyl, indolyl, benzimidazolyl, benzoxazolyl, benzisoxazolyl, benzothiazolyl, benzisothiazolyl, benzofuranyl, benzothienyl and 4a,8a-dihydro-2H-chromenyl; each heterocyclic radical may optionally be substituted on any atom by one or more radicals selected from the group of halo, oxo and alkyl; Het² is a monocyclic heterocyclic radical selected from the group of tetrahydrofuranyl, pyrrolidinyl, dioxolyl, imidazolidinyl, pyrrazolidinyl, piperidinyl, morpholinyl, dithianyl, thiomorpholinyl, piperazinyl, imidazolidinyl, tetrahydrofuranyl, 2H-pyrrolyl, pyrrolinyl, imidazolinyl, pyrrazolinyl, pyrrolyl, imidazolyl, pyrazolyl, triazolyl, furanyl, thienyl, oxazolyl, isoxazolyl, thiazolyl, thiadiazolyl, isothiazolyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridazinyl and triazinyl; or a bicyclic heterocyclic radical selected from the group of benzopiperidinyl, quinolinyl, quinoxalinyl, indolyl, isoindolyl, chromenyl, benzimidazolyl, imidazo[1,2-a]pyridinyl, benzoxazolyl, benzisoxazolyl, benzothiazolyl, benzisothiazolyl, benzofuranyl, benzothienyl, benzo[2,1,3]oxadiazolyl, imidazo[2,1-b]thiazolyl, 2,3-dihydrobenzo[1,4]dioxyl and octahydrobenzo-[1,4]dioxyl; each radical may optionally be substituted with one or more radicals selected from the group of Ar¹, Ar¹alkyl, Ar¹alkyloxyalkyl, halo, hydroxy, alkyl, alkylcarbonyl, alkyloxy, alkyloxyalkyl, alkyloxycarbonyl, piperidinyl, pyridinyl, pyrrolyl, thienyl, oxo and oxazolyl; and alkyl is a straight or branched saturated hydrocarbon radical having with one or more radicals selected from the group of phenyl, halo, cyano, oxo, hydroxy, formyl and amino.
 2. A compound according to claim 1, characterized in that n is 1; m is 1; p is 1; q is 0; Q is O; X is a covalent bond; each R¹ is Ar¹ or Ar¹-alkyl; R² is Ar²; Y is a covalent bond or a bivalent radical of formula —C(═O)—, —SO₂— or >C═CH—R or >C═N—R, wherein R is CN or nitro; each Alk represents, independently from each other, a covalent bond; a bivalent straight or branched, saturated hydrocarbon radical having from 1 to 6 carbon atoms; or a cyclic saturated hydrocarbon radical having from 3 to 6 carbon atoms; each radical optionally substituted on one or more carbon atoms with one or more hydroxy radicals; L is selected from the group of hydrogen, alkyl, alkyloxy, alkylcarbonyloxy, mono- and di(alkyl)amino, mono-and di(Ar³)amino, Ar³, Het² and Het²carbonyl; Ar¹ is phenyl; Ar² is phenyl, optionally substituted with 1, 2 or 3 alkyl radicals; Ar³ is phenyl, optionally substituted with 1, 2 or 3 substituents, each independently from each other, selected from the group of alkyloxy, alkyl, halo, hydroxy, Ar¹carbonyloxycarbonyl and cyano; Het² is a heterocyclic radical selected from the group of tetrahydrofuranyl, pyrrolidinyl, imidazolyl, pyrazolyl, furanyl, thienyl, isoxazolyl, thiazolyl, thiadiazolyl, pyridinyl, pyrazinyl, benzo [2,1,3]oxadiazolyl and imidazo[2,1-b]thiazolyl; each radical optionally substituted with one or more Ar¹alkyloxyalkyl, halo, alkyl, alkylcarbonyl, pyridinyl or oxazolyl radicals; and alkyl is a straight hydrocarbon radical having 1 to 6 carbon atoms, optionally substituted with one or more radicals selected from the group of halo and hydroxy
 3. A compound according to claim 1 wherein R¹ is Ar¹methyl and attached to the 2-position or R¹ is Ar¹ and attached to the 3-position.
 4. A compound according to claim 1 wherein the R²—X—C(=Q)- moiety is 3,5-di-(trifluoromethyl)phenylcarbonyl.
 5. A compound according to claim 1 wherein p is
 1. 6. A compound according to claim 1 wherein Y is —C(═O)—.
 7. A compound according to claim 1 wherein Alk is a covalent bond.
 8. A compound according to claim 1 wherein L is Het².
 9. A compound selected from the group of compounds with compound number 25, 48, 79, 39, 15, 41, 64, 88, 50, 59 and 3, as described in any one of Tables 1-2.
 10. A compound according to claim 1 for use as a medicine.
 11. The use of a compound according to claim 1 treating tachykinin mediated conditions.
 12. The use of a compound according to claim 11 for treating schizophrenia, emesis, anxiety, depression, irritable bowel syndrome (IBS), circadian rhythm disturbances, pain, neurogenic inflammation, asthma, micturition disorders and nociception.
 13. A pharmaceutical composition comprising a pharmaceutically acceptable carrier and, as active ingredient, a therapeutically effective amount of a compound according to claim
 1. 14. A process for preparing a pharmaceutical composition as claimed in claim 13, wherein a pharmaceutically acceptable carrier is intimately mixed with a therapeutically effective amount of a compound as claimed in claim
 1. 15. A process for the preparation of a compound of Formula (I″) in which an intermediate compound of Formula (II) is reacted with an intermediate compound of Formula (III), wherein the radicals R², X, Q, R¹, m, n, p and q are as defined in claim
 1.


16. A process for the preparation of a compound of Formula (I′) in which a final compound of Formula (I″) is reductively hydrogenated, wherein the radicals R², X, Q, R¹, m, n, p and q are as defined in claim
 1.


17. A process for the preparation of a compound according to Formula (I′) comprising the consecutive steps of 1) obtaining a compound of Formula (I″) according to claim 15; 2) obtaining a compound of Formula (I′) according to claim
 16. 